Aouatef
Orebro University, Sweden
Title: Predictive factors to surgical treatment of occupational carpal tunnel syndrome
Biography
Biography: Aouatef
Abstract
Objective: to study the predictive factors to a surgical treatment of a professional carpal tunnel syndrome (CTS). Patients and methods: A cross sectional study of subjects with occupational CTS identified in Occupational Diseases at the University Hospital of Mahdia over a period of 8 years (2005-2013). Data collection was based on the description of socio-professional characteristics, medical and professional future of the participants. A statistical significance level (p < 0.005) was considered. Results: We identified 106 cases of occupational CTS, that have had the profile of a female labor worker on sewing-machine, 42 years old, married and with a mean length service of 20.6 ±6.8 years. Most of our patients had benefited from a surgical treatment (61.3%). The study of predictors for surgical treatment of occupational SCC was significantly correlated with preexisting diabetes, musculoskeletal disorders, functional signs of the disease (muscle weakness, pain irradiation and painful discomfort hand of the forearm or arm) and atrophy of the thenar muscles. As for the professional future of employees operated, 50.7% remained in the same position, 15.3% received a post layout and 33.8% received a job change in the same company. The professional future of these employees was related to their qualifications and type of sensory impairment and / or motor median nerve EMG. Conclusion: A better understanding of factors which influence the gravity of CTS can help to identify susceptible patients to benefit from a surgical treatment in an appropriate way.