Carpal tunnel syndrome in pregnancy: Frequency, severity, and prognosis

摘要: Abstract Objective: To determine the frequency, severity, prognosis, and patterns of carpal tunnel syndrome (CTS) in pregnancy. Design: Descriptive retrospective chart review using Rochester Epidemiology Project medical record diagnostic indexing system to identify patients with new CTS occurring during pregnancy from 1987 1992 at our institution. Setting: Obstetrical practice, where two thirds pregnant women county receive primary obstetrical care. Patients: Women who had a diagnosis CTS. pregnancies other dates or onset before after were excluded. Outcome Measures: Age, underlying problems, gestation interval, weight gain, number pregnancies, presenting symptoms, duration symptoms diagnosis, trimester treatment response, results electrophysiologic studies are described. Results: Of 10,873 receiving antenatal care for 14,579 50 (.34%) fulfilled inclusion criteria. Their mean age was 30.5 ± 4.0yrs. Twelve (24%) primigravid. Mean gain 12.1 5.7kg. diagnosed most frequently third ( n = 25, 50%). Symptom onset, when recorded, occurred even distribution each trimester: first, 11 (32%); second, third, 12 (35%). For 37 whom symptom 9.3 9.0 weeks. Paresthesia (88%) often bilateral (68%), 67% pain. The Tinel sign present over median nerve wrist 95%. Only nine conduction performed. During pregnancy, treated nonsurgically orthoses, steroid injections, both. follow-up data available, 25 26 improved, 4 required surgery. Thirteen no pregnancy; three underwent surgery postpartum period. All 7 conservative failed resolution symptoms. Conclusion: These represent frequency clinically significant large population women. severe enough warrant occurs infrequently generally resolves spontaneously responds treatment.