Carpal tunnel syndrome in inherited neuropathies: A retrospective survey

Muscle Nerve. 2018 Mar;57(3):388-394. doi: 10.1002/mus.25742. Epub 2017 Jul 21.

Abstract

Introduction: This study evaluates carpal tunnel syndrome (CTS) symptom severity, functional status, and outcome of CTS therapies in patients with inherited neuropathies.

Methods: Validated questionnaires were used to compare symptom severity and functional status in patients with and without a diagnosis of CTS and a diagnosis of an inherited neuropathy.

Results: 309 patients with inherited neuropathies participated in this study. The CTS symptom severity score (SSS) was found to be the most useful tool in assessing CTS severity in patients with inherited neuropathy. Splint therapy and surgery were associated with significant improvement in carpal tunnel symptoms as measured through the SSS.

Discussion: This study provides insight into the assessment of CTS symptom severity and patient-reported outcomes to CTS therapy in individuals with inherited neuropathies. The SSS appears useful for evaluation of CTS symptoms and patient-reported outcomes following CTS interventions in individuals with inherited neuropathies. Muscle Nerve 57: 388-394, 2018.

Keywords: Boston Carpal Tunnel Questionnaire; CMT; Charcot-Marie-Tooth disease; HNPP; carpal tunnel syndrome; hereditary neuropathy with liability to pressure palsies; inherited neuropathy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Carpal Tunnel Syndrome / complications
  • Carpal Tunnel Syndrome / diagnosis*
  • Carpal Tunnel Syndrome / physiopathology
  • Charcot-Marie-Tooth Disease / complications*
  • Charcot-Marie-Tooth Disease / physiopathology
  • Female
  • Humans
  • Male
  • Median Nerve / physiopathology*
  • Middle Aged
  • Pain Measurement
  • Retrospective Studies
  • Severity of Illness Index