The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a US Metropolitan Cohort
The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a US Metropolitan Cohort
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DOI：
10.2106/jbjs.15.01162
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发表时间：
2017-03-01
影响因子：
5.3
通讯作者：
Osei, Daniel A.
中科院分区：
文献类型：
--
作者：
An, Tonya W.;Evanoff, Bradley A.;Osei, Daniel A.
背景资料：虽然肘管综合征是临床实践中遇到的第二种最常见的外周单神经病（仅次于腕管综合征），但其在人群中的患病率尚不清楚。本研究的目的是评估肘管综合征的患病率在一般population.Methods：我们调查了一个队列的成年居民的圣路易斯大都市地区，以评估的严重程度和本地化的手症状，使用波士顿腕管症状严重程度量表（BCTQ-SSS）和Katz手图。我们确定了符合我们肘管综合征和腕管综合征病例定义的受试者：自我报告的手部症状与BCTQ-SSS评分>2相关，症状定位于尺神经或正中神经distribution.Results：在参与横断面调查的1，001名个体中，75%为女性，79%的队列为白色;平均年龄（和标准差）为46 ± 15.7岁。使用更敏感的病例定义（宽松标准），我们确定了59例（5.9%）肘管综合征和68例（6.8%）腕管综合征。使用更具体的情况下定义（严格的标准），我们确定了18例（1.8%）肘管综合征和27例（2.7%）腕管syndrome.Conclusions：肘管综合征的患病率在一般人群中可能高于以前报道的。与以前的疾病负担估计值相比，本研究中使用的主动监测技术可能是报告患病率较高的原因。这一发现表明，一部分有症状的受试者可能不会自我识别，也可能不会寻求药物治疗。
Background: Although cubital tunnel syndrome is the second most common peripheral mononeuropathy (after carpal tunnel syndrome) encountered in clinical practice, its prevalence in the population is unknown. The objective of this study was to evaluate the prevalence of cubital tunnel syndrome in the general population.Methods: We surveyed a cohort of adult residents of the St. Louis metropolitan area to assess for the severity and localization of hand symptoms using the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS) and the Katz hand diagram. We identified subjects who met our case definitions for cubital tunnel syndrome and carpal tunnel syndrome: self-reported hand symptoms associated with a BCTQ-SSS score of >2 and localization of symptoms to the ulnar nerve or median nerve distributions.Results: Of 1,001 individuals who participated in the cross-sectional survey, 75% were women and 79% of the cohort was white; the mean age (and standard deviation) was 46 +/- 15.7 years. Using a more sensitive case definition (lax criteria), we identified 59 subjects (5.9%) with cubital tunnel syndrome and 68 subjects (6.8%) with carpal tunnel syndrome. Using a more specific case definition (strict criteria), we identified 18 subjects (1.8%) with cubital tunnel syndrome and 27 subjects (2.7%) with carpal tunnel syndrome.Conclusions: The prevalence of cubital tunnel syndrome in the general population may be higher than that reported previously. When compared with previous estimates of disease burden, the active surveillance technique used in this study may account for the higher reported prevalence. This finding suggests that a proportion of symptomatic subjects may not self-identify and may not seek medical treatment.