Correlation of neutrophil/lymphocyte and platelet/lymphocyte ratios with the severity of idiopathic carpal tunnel syndrome

Muscle Nerve. 2020 Mar;61(3):369-374. doi: 10.1002/mus.26791. Epub 2020 Jan 9.

Abstract

Background: The aim of the present study was to investigate the correlation of the neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio with the severity of idiopathic carpal tunnel syndrome (CTS).

Methods: A total of 407 patients with idiopathic CTS (neurophysiologically 150 mild, 144 moderate, and 113 severe) and 206 subjects without CTS were included (control group).

Results: There was a positive correlation between the severity of CTS and NLR (r = 0.224; P < 0.001), age (r = 0.333; P < 0.001), and body mass index (r = 0.251; P < 0.001). A 1-unit increase in NLR level was associated with an approximately 1.7-fold higher incidence of CTS (P = 0.002; odds ratio = 1.668; 95% confidence interval = 1.199-2.319).

Conclusions: Our results suggest that neurophysiologically more severe CTS is associated with higher NLR levels. The role of systemic inflammation in CTS should be investigated in further studies.

Keywords: idiopathic carpal tunnel syndrome; nerve conduction study; neutrophil/lymphocyte ratio; platelet/lymphocyte ratio; systemic inflammation.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Cell Count
  • Carpal Tunnel Syndrome / blood*
  • Carpal Tunnel Syndrome / complications
  • Carpal Tunnel Syndrome / diagnosis*
  • Female
  • Humans
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Neutrophils
  • Platelet Count
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Young Adult