Work practices and histopathological changes in the tenosynovium and flexor retinaculum in carpal tunnel syndrome in women

Citation
J. Chell et al., Work practices and histopathological changes in the tenosynovium and flexor retinaculum in carpal tunnel syndrome in women, J BONE-BR V, 81B(5), 1999, pp. 868-870
Citations number
18
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Journal title
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
ISSN journal
0301620X → ACNP
Volume
81B
Issue
5
Year of publication
1999
Pages
868 - 870
Database
ISI
SICI code
0301-620X(199909)81B:5<868:WPAHCI>2.0.ZU;2-7
Abstract
We studied 58 women of employable age with the carpal tunnel syndrome in or der to determine whether the histological appearances of the carpal tunnel, tenosynovium and flexor retinaculum are influenced by work practices. Age, body mass index and the duration of symptoms did not correlate with the ex tent of oedema or fibrosis within the tenosynovium, The incidence of abnorm ality on histological examination of the tenosynovium was the same in emplo yed and unemployed patients (p = 1.0), and was not influenced by the level of repetition (p = 0.89) or force (p = 0.29) of work. Myxoid degeneration w ithin the flexor retinaculum was, however, more common in women undertaking 'high-force' work. Apart from this finding, the results suggest that work practices do not affect tenosynovial thickening, fibrosis or oedema in pati ents with carpal tunnel syndrome.