(2023). Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist. The Egyptian Journal of Hospital Medicine, 92(1), 6706-6711. doi: 10.21608/ejhm.2023.318062
. "Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist". The Egyptian Journal of Hospital Medicine, 92, 1, 2023, 6706-6711. doi: 10.21608/ejhm.2023.318062
(2023). 'Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist', The Egyptian Journal of Hospital Medicine, 92(1), pp. 6706-6711. doi: 10.21608/ejhm.2023.318062
Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist. The Egyptian Journal of Hospital Medicine, 2023; 92(1): 6706-6711. doi: 10.21608/ejhm.2023.318062
Carpal Tunnel Syndrome in Rheumatoid Arthritis: Assessment of Different Anatomical Causes in Non-Clinically Deformed Wrist
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.