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Journal of the Korean Academy of Rehabilitation Medicine 1993;17(3):362-367.
Diabetic neuropathy with concurrent carpal tunnel syndrome.
Park, Yong Soo , Rah, Ueon Woo , Park, Jeong Mee , Ann, Gil Young
Department of Rehabilitation Medicine, Wonju College of Medicine and College of Medicine*, Yonsei University
수근관 증후군이 동반된 당뇨병성 신경병변
박용수, 나은우*, 박정미, 안길영
연세대학교 원주의과대학 및 연세대학교 의과대학* 재활의학교실

The purpose of this study was to compare diabetic patients with peripheral neuropathy with and without concurrent carpal tunnel syndrome using the findings obtained during physical examinations and electrodiagnostic studies.

Out of total 100 patients with diabetic neuropathy, 14 patients had carpal tunnel syndrome. Of those 14 patients, four patients were positive on the Phalen test, two patients had a positive Tinel sign, two patients revealed specific physical findings of carpal tunnel syndrome, and only two patients revealed positive sharp waves during EMG studies.

There was no statistical differences between the two groups in the age, sex and the duration of diabetes mellitus.

In conclusion, this study seems to suggest that there is a significantly higher incidence of carpal tunnel syndrome in diabetic patients with peripheral neuropathy than the general population; however, there was low incidence of positive physical findings of carpal tunnel syndrome during physical examination, thus nerve conduction study seems to be more sensitive of detecting the early phase of carpal tunnel syndrome in the patients with diabetic neuropahty than other types of physical examination or needle EMG study.

Key Words: Diabetic neuropathy, Carpal tunnel syndrome


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