Clinical Tests and Questionnaires in the Study of Carpal Tunnel Syndrome in Periodontists
Keywords:
carpal tunnel syndrome, screening, dentists, questionnaire.Abstract
Introduction: Dentists, especially surgeons and periodontists, are susceptible to developing CTS carpal tunnel syndrome and other painful alterations of the hand. The BOSTON questionnaire has been considered a tool to identify symptoms related to carpal tunnel syndrome, but it is not specific to establish its diagnosis.
Objective: To establish the complementary clinical tests to the BOSTON questionnaire for the identification of suspected carpal tunnel syndrome in specialists in periodontics.
Methods: A cross-sectional analytical observational study was carried out with 40 periodontists from Bucaramanga, Colombia. In addition to the BOSTON questionnaire, sociodemographic variables, clinical practice, Tinel, Laban, Phalen clinical tests and Katz diagram were taken into account. The ethical principles of the participants and autonomy were respected with the signing of informed consent.
Results: This study found the relationship between the BOSTON questionnaire and the KATZ diagram test for the diagnosis of suspected carpal tunnel syndrome. The frequency of suspected carpal tunnel syndrome was 27.8%. Most of the symptoms reported by the participants in the BOSTON questionnaire were mild; however, 7.5% of the participants reported severe tingling numbness at night.
Conclusions: The complementary clinical test to the BOSTON questionnaire was the KATZ diagram. The use of these two inexpensive, non-invasive tests can be an inexpensive and simple way to identify a suspected case of carpal tunnel syndrome.
Downloads
References
Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal Tunnel Syndrome: A Review of Literature. Cureus. 2020;12(3):e7333.
Trillos-Chacon MC, Castillo MJ, Tolosa-Guzman I, Sanchez Medina AF, Ballesteros SM. Strategies for the prevention of carpal tunnel syndrome in the workplace: A systematic review. Appl Ergon. 2021;93:103353.
Alhusain FA, Almohrij M, Althukeir F, Alshater A, Alghamdi B, Masuadi E, et al. Prevalence of carpal tunnel syndrome symptoms among dentists working in Riyadh. Ann Saudi Med. 2019;39(2):104-11.
Multanen J, Ylinen J, Karjalainen T, Kautiainen H, Repo JP, Hakkinen A. Reliability and Validity of The Finnish Version of The BOSTON Carpal Tunnel Questionnaire among Surgically Treated Carpal Tunnel Syndrome Patients. Scand J Surg. 2020;109(4):343-50.
Andani J, Balbastre M, Gomez F. Valoración del cuestionario de BOSTON como screening en patología laboral por síndrome del tunel carpiano Rev asoc esp med trab. 2017;26(1).
MacDermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: a systematic review. J Hand Ther. 2004;17(2):309-19.
Dabbagh A, MacDermid JC, Yong J, Macedo LG, Packham TL. Diagnosing Carpal Tunnel Syndrome: Diagnostic Test Accuracy of Scales, Questionnaires, and Hand Symptom Diagrams-A Systematic Review. J Orthop Sports Phys Ther. 2020;50(11):622-31.
Seror P. Phalen’s test in the diagnos of carpal tunnel. J Hand Surg Eur Vol.1988; 4 (13):383-385.
Boland RA, Kiernan MC. Assessing the accuracy of a combination of clinical tests for identifying carpal tunnel syndrome. J Clin Neurosci. 2009;16(7):929-33.
Calfee RP, Dale AM, Ryan D, Descatha A, Franzblau A, Evanoff B. Performance of simplified scoring systems for hand diagrams in carpal tunnel syndrome screening. J Hand Surg Am. 2012;37(1):10-7.
Kucukakkas O, Yurdakul OV. The diagnostic value of clinical examinations when diagnosing carpal tunnel syndrome assisted by nerve conduction studies. J Clin Neurosci. 2019;61:136-41.
Cenetec. Diagnóstico y tratamiento del síndrome de túnel del carpo
