Carpal tunnel release: Lifetime prevalence, annual incidence, and risk factors

Muscle Nerve. 2018 Oct;58(4):497-502. doi: 10.1002/mus.26145. Epub 2018 May 18.

Abstract

Introduction: We estimated the lifetime prevalence and incidence of carpal tunnel release (CTR) and identified risk factors for CTR.

Methods: The study population consisted of individuals aged ≥30 years living in Finland during 2000-2001 (N = 6,256) and was linked to the Finnish Hospital Discharge Register from 2000 to 2011.

Results: Lifetime prevalence of CTR was 3.1%, and incidence rate was 1.73 per 1,000 person-years. Female sex (adjusted hazard ratio [HR] = 1.8, 95% confidence interval [CI] 1.2-2.8), age of 40-49 years (HR = 2.5, CI 1.7-3.8 compared with other age groups), education (HR = 0.6, CI 0.4-0.9 for high level vs. low/medium level), obesity (HR = 1.7, CI 1.2-2.5 for body mass index ≥30 vs. < 30 kg/m2 ), and hand osteoarthritis (HR = 2.4, CI 1.4-3.9) were associated with incidence of CTR.

Discussion: CTR is a common surgical procedure, performed on 1.9% of men and 4.1% of women during their lifetimes. Obesity and hand osteoarthritis are associated with an increased risk of CTR. Muscle Nerve 58: 497-502, 2018.

Keywords: carpal tunnel syndrome; incidence; obesity; osteoarthritis; prevalence.

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • Carpal Tunnel Syndrome / epidemiology
  • Carpal Tunnel Syndrome / surgery*
  • Decompression, Surgical / statistics & numerical data*
  • Diabetes Mellitus / epidemiology
  • Educational Status
  • Exercise
  • Female
  • Finland / epidemiology
  • Hand Joints
  • Health Care Costs
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Obesity / epidemiology
  • Occupational Exposure
  • Osteoarthritis / epidemiology
  • Prevalence
  • Proportional Hazards Models
  • Risk Factors
  • Smoking / epidemiology
  • Waist Circumference