2023, Number 4
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Acta Med 2023; 21 (4)
Hospital activities in residents and interns of the Hospital Angeles Mocel as a risk factor for carpal tunnel syndrome
Hornelas VA, Talayero MJ, Alva AN, López RA, Alcántara PG
Language: Spanish
References: 14
Page: 309-313
PDF size: 159.75 Kb.
ABSTRACT
Introduction: carpal tunnel syndrome (CTS) is a neuropathy due to entrapment of the median nerve characterized by paresthesias and hypoesthesias in the distribution of this nerve, particularly at night, and pain in the hand and arm with motor impairment, allodynia, dysesthesia, and hyperesthesia.
Objective: observational, descriptive, cross-sectional study carried out at Hospital Angeles Mocel with resident doctors and undergraduate interns in the specialties of internal medicine, orthopedics, surgery, anesthesiology, imaging, and critical medicine to identify risk factors for carpal tunnel syndrome (CTS).
Material and methods: surveys (Boston Questionnaire) including standardized physical examination for the diagnosis of CTS were applied to the entire population of medical residents and interns working in the hospital at the time of the study. Data were collected, and statistical and descriptive analysis was performed.
Results: a total of 54 patients were analyzed, of which CTS was diagnosed in 25 (46%), unilateral 13 (24%), negative 29 (54%), and bilateral 12 (22%), obtaining a prevalence of 46%. A regression analysis was performed for risk according to manual work activities, obtaining surgery OR 2 (95% CI: 0.530-7.53, p = 0.306), procedures OR 0.75 (95% CI: 0.151-3.71; p = 0.725), imaging studies OR 3 (95% CI: 0.459-19.59, p = 0.251).
Conclusion: the results of this study help to identify some risk factors associated with CTS, highlighting, in particular, the female gender, despite not reaching significance, they coincide with what is published in the literature and set the standard to expand this research and expand the sample.
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