KHẢO SÁT ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA CÁC BỆNH NHÂN HỘI CHỨNG ỐNG CỔ TAY

Abstract

Objective: The study has objectives: Describe the clinical and paraclinical characteristics of patients in the group of patients diagnosed with carpal tunnel syndrome at Can Tho Central General Hospital and Can Tho City General Hospital. Methods: Retrospective study design combined with cross-sectional descriptive study on 34 patients aged 16 years and older who came to be diagnosed with carpal tunnel syndrome and underwent endoscopic surgery at Can Tho Central General Hospital and Can Tho City General Hospital from January 2023 to February 2024. Result: Most of the subjects had a time from symptom onset to hospitalization of more than 3 months (85.3%), the remaining subjects were from 1-3 months and less than 1 month with the rates of 11.8% and 2.9%, respectively. Factors of frequent wrist movement (6-8 hours) and menopause accounted for the highest rate (50%), followed by arthritis, which was a factor with a relatively high rate (8.8%). The most common symptoms of numbness were numbness at night (97.1%), numbness of the hands (91.2%). Symptoms of weak grip (73.5%) and difficulty performing dexterous movements (64.7%), and atrophy of the carpal tunnel (29.4%). Patients were positive for the Phalen test (67.6%) and the Tinel sign (61.8%). Patients with severe carpal tunnel syndrome on electromyography according to Padua classification were 79.4%. On electromyography, the mean Boston score was proportional to the Padua grade on EMG, the more severe the disease, the higher the mean Boston score. This difference was statistically significant (p<0.05).