The incidence between Carpal tunnel syndrome (CTS) and de Quervain’s tenosynovitis (DQT) using electrophysiological and ultrasonography study.

Authors

Shaimaa mohamed abd Abd El aziz, Rheumatology and physical medicine; Fellow of Rheumatology & Rehabilitation at Ahmed Maher Teaching HospitalFollow
Lamis Safwat, Rheumatology & Rehabilitation; Fellow of Rheumatology & Rehabilitation at Ahmed Maher Teaching Hospital

Abstract

Background One more common mono neuropathy is carpal tunnel syndrome (CTS). CTS represents 90% of entrapment neuropathies that affect the upper limbs. About 4–5% of people are affected. De Quervain tenosynovitis (DQT) is a disorder that affects the wrist’s first dorsal compartment and involves tendon entrapment According to studies, tenosynovitis and CTS may coexist, and one of them may be the main clinical problem

Objective The aim of this study is to evaluate the occurrence of CTS and DQT on the same hand using electrophysiological and ultrasonography studies.

Patients and methods

Sixty patients with either idiopathic (DQT) or idiopathic CTS were recruited ,The clinical diagnosis was based on the history taking and clinical examination for the detection of the presence of CTS or idiopathic DQT Then, patients are classified into three groupsCTS group, DQT group, CTS with DQT group. Laboratory tests (complete blood count, thyroid-stimulating hormonw, blood sugar, blood urea, serum creatinine, aspartate aminotransferase, alanine aminotransferase), radiograph cervical, electrophysiological, and musculoskeletal ultrasonography (MSUS) studies were done.

Results: According to MSUS and electrophysiological tests a statistically significant correlation between patients with concomitant CTS and DQT. And also , there was a noticeable increase in the number of hands with DQT as CTS severity increased

Conclusion: it is typical for both idiopathic CTS and DQT to appear simultaneously in the same hand. They could all be connected to one another. The cause of both conditions occurring at the same time could be caused by overuse injuries. Our findings demonstrate that taking DQT into account during clinical evaluation of patients diagnosed with ICTS has a role in follow-up and management of these patients.

Article Type

Original Study

Subject Area

Rheumatology and Rehabilitation

IRB Number

HAM00172

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.

Recommended Citation

Abd El aziz, Shaimaa mohamed abd and Safwat, Lamis (2025) "The incidence between Carpal tunnel syndrome (CTS) and de Quervain’s tenosynovitis (DQT) using electrophysiological and ultrasonography study.," Journal of Medicine in Scientific Research: Vol. 8: Iss. 3, Article 2.
DOI: https://doi.org/10.59299/2537-0928.1447