Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 187, Volume 92, Issue 1, July 2023, Page 6706-6711 PDF (343.23 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.318062 | ||||
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| Abstract | ||||
| Background: Carpal tunnel syndrome (CTS) can affect 4-50% of rheumatoid arthritis (RA) patients. Pain and paresthesia in the first three digits are the commonest symptoms of CTS and can progress to hand weakness in the late stage. Objective: This study aimed to determine the most prevalent anatomical cause of CTS in non-clinically deformed RA. Patients and methods: This case-control study included convenience sample of 100 female RA patients with CTS and clinically non-deformed wrists who were recruited from the Outpatient Clinics, Faculty of Medicine, Ain Shams University Hospitals over a period of three months. Results: The patients' average age was 44.68 ± 6.97 years. Musculoskeletal ultrasound showed that 42% of the patients had tenosynovitis, 30% of the patients had thickened flexor retinaculum, 22% of the patients had increased power Doppler (PD) signal, and 6% of the patients had bone erosions. There was a significant association between tenosynovitis and age, duration of RA, and moderate CTS, compared to patients with thickened flexor retinaculum, increased PD signal, and bone erosions. Conclusion: There was an inflammatory pattern present in the ultrasound spectrum of CTS in RA patients, such as tenosynovitis and/or synovitis. Tenosynovitis was a key factor in the onset of CTS in RA. | ||||
| Keywords | ||||
| RA; CTS; Tenosynovitis | ||||
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