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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 356-359
DOI: 10.1055/s-0040-1721841
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Electrodiagnostic Testing Characteristics of Diabetic People with Carpal Tunnel Syndrome[*]

Article in several languages: português | English
Henver Ribeiro Paiva Filho 
1   Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Alex Timóteo Rodrigues Reis
2   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Gabriel Antonio Matos
2   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Valdênia Graças Nascimento Paiva 
3   Cirurgia da Mão, Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Elias Felix Oliveira 
4   Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
,
Murilo Antônio Rocha 
5   Cirurgia do Pé, Serviço de Ortopedia e Traumatologia, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
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Abstract

Objective The present study aimed to correlate electroneuromyography (ENMG) findings in diabetic and nondiabetic subjects with carpal tunnel syndrome (CTS).

Methods In total, 154 patients were evaluated in a hand surgery outpatient clinic. All ENMG tests were bilaterally performed by a single neurologist. Qualitative variables were described for all patients with CTS according to their diabetic status, and the chi-squared test was used to reveal any association. A joint model was adjusted to determine the influence of diabetes on ENMG severity in CTS patients.

Results The sample consisted of 117 women and 37 men, with an average age of 56.9 years old. Electroneuromyography demonstrated bilateral CTS in 82.5% of the patients. Diabetes was identified in 21.4% of the cases. Severe ENMG was prevalent.

Conclusion There was no association between diabetes and ENMG severity in patients with CTS. Level of evidence IV, case series.

Keywords

diabetes - electromyography - median neuropathy - paresthesia - carpal tunnel syndrome

* Study developed at the Orthopedics and Traumatology Department, Hand Surgery, Universidade Federal do Triângulo Mineiro, Uberaba, MG,, Brazil.




Publication History

Received: 06 May 2020

Accepted: 16 September 2020

Article published online:
10 February 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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