Carpal Tunnel Syndrome and Hand-Arm Vibration: A Swedish National Registry Case–Control Study. Issue 3 (6th March 2022)

• Record Type: Journal Article
• Authors: Vihlborg, Per; Pettersson, Hans; Makdoumi, Karim; Wikström, Sverre; Bryngelsson, Ing-Liss; Selander, Jenny; Graff, Pål
• Is Part Of: Journal of occupational and environmental medicine. Volume 64:Issue 3(2022)
• Page Start: 197
• Page End: 201
• Publication Date: 2022-03-06
• Subjects: carpal tunnel syndrome -- case–control study -- hand-arm vibration -- occupational exposure; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational Medicine -- Periodicals; Environmental Medicine -- Periodicals; Environmental health; Medicine, Industrial; Periodicals; Electronic journals; 616.9803
• DOI: 10.1097/JOM.0000000000002451
• Languages: English
• ISSNs: 1076-2752

Abstract

Abstract : The clinical significance of this paper is the statistically significant increased risk for carpal tunnel syndrome due to hand-arm vibration exposure. The highest increased risk was found among younger men. The results show the importance of investigating hand-arm vibration exposure among carpal tunnel syndrome patients. Abstract : Objective: To investigate the increased risk for carpal tunnel syndrome (CTS) in men and women with hand-arm vibration (HAV) exposure. Design: Case–control study of CTS where 4396 cases was obtained from National Outpatient Register between 2005 through 2016. Cases were matched to controls and exposure was estimated using a job exposure matrix. Results: Exposure to HAV increased the risk of CTS with an OR of 1.61 (95% CI 1.46–1.77). The risk was highest in men <30 years of age and among women <30 years no increased risk was observed. The risk increased with a mean year exposure above 2.5 m/s 2 to OR 1.84 (95% CI 1.38–2.46). Conclusions: HAV exposure increase the risk of CTS in both genders, with highest risk increase in younger men. This emphasize identification of HAV exposure in patients with CTS.