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Medical Disability Advisor  >  Carpal Tunnel Syndrome  >  Cited References  see more: ACOEM - Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Related Terms

  • Compression Neuropathy
  • CTS
  • Median Nerve Compression
  • Median Nerve Mononeuropathy

Differential Diagnoses

Specialists

  • Ergonomist
  • Hand Surgeon
  • Neurologist
  • Neurosurgeon
  • Occupational Therapist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Physical Therapist

Comorbid Conditions

  • Diabetes mellitus
  • Obesity
  • Thyroid illness
  • Toxic exposures

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Factors Influencing Duration

The ability (or lack thereof) to stop activities that increase the symptoms, the response to conservative treatment, and the ability to perform tasks while wearing adaptive splints may influence disability time. The endoscopic form of carpal tunnel release surgery, which involves smaller incisions, has a shorter recovery period but a higher complication rate, and final outcomes are the same, regardless of whether surgery is done by open "mini-palm" or by endoscopic technique.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 354  
CasesMeanMinMaxNo Lost TimeOver 6 Months
97855102550.2%0.4%
 
  
 
Percentile:5th25thMedian75th95th
Days:12274367123
 
  
 

DURATION TRENDS
 ICD-9-CM: 354.0  
CasesMeanMinMaxNo Lost TimeOver 6 Months
61615502170.1%2.7%
 
  
 
Percentile:5th25thMedian75th95th
Days:11274472147
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
354 - Mononeuritis of Upper Limb and Mononeuritis Multiplex
354.0 - Carpal Tunnel Syndrome; Median Nerve Entrapment; Partial Thenar Atrophy

Cited References

Atroshi, I., et al. "Prevalence of Carpal Tunnel Syndrome in a General Population." JAMA 282 (1999): 153-158.

Braddom, Randolph L. Physical Medicine and Rehabilitation. 2nd ed. Philadelphia: W.B. Saunders, 2000.

"Carpal Tunnel Syndrome Fact Sheet." National Institute of Neurological Disorders and Stroke. 10 Apr. 2008. National Institutes of Health (NIH). 15 Dec. 2008 <http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm>.

"Carpal Tunnel Syndrome." MayoClinic.com. 21 Feb. 2007. Mayo Foundation for Medical Education and Research. 1 Aug. 2008 <http://www.mayoclinic.com/invoke.cfm?objectid=CFBC3BC6-FBFF-43DF-85951B77F5A3F8C0&dsection=4>.

Evans, R. B. "The Therapist’s Management of Carpal Tunnel Syndrome." Hunter - Mackin - Callahan Rehabilitation of the Hand and Upper Extremity. Eds. E. J. Mackin, et al. 5th ed. Philadelphia: Mosby, Inc., 2002. 660-671.

Fuller, David A. "Carpal Tunnel Syndrome." eMedicine Consumer Health. Eds. Kristine M. Lohr, et al. 13 Jul. 2004. Medscape. 15 Dec. 2008 <http://www.emedicinehealth.com/articles/5013-1.asp>.

Fuller, David A. "Carpal Tunnel Syndrome." eMedicine. Eds. Kristine M. Lohr, et al. 13 Jul. 2004. Medscape. 4 Oct. 2004 <http://www.emedicinehealth.com/articles/5013-1.asp>.

Gerritsen, A. A. "Conservative Treatment Options for Carpal Tunnel Syndrome: A Systematic Review of Randomised Controlled Trials." Journal of Neurology, Neurosurgery & Psychiatry 249 3 (2002): 272-280. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 11993525>.

Gerritsen, A. A., et al. "Splinting vs Surgery in the Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial." JAMA 288 10 (2002): 1245-1251. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12215131>.

Muller, M., et al. "Effectiveness of Hand Therapy Interventions in Primary Management of Carpal Tunnel Syndrome: A Systematic Review." Journal of Hand Therapy 17 2 (2004): 210-228. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 15162107>.

O'Connor, D., S. Marshall, and N. Massy-Westropp. "Non-Surgical Treatment (Other than Steroid Injection) for Carpal Tunnel Syndrome." Cochrane Database System Review 1 (2003): CD003219. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12535461>.

Wilson, J. K., and T. L. Sevier. "A Review of Treatment for Carpal Tunnel Syndrome." Disability Rehabilitation 25 3 (2003): 113-119. National Center for Biotechnology Information. National Library of Medicine. 3 Dec. 2004 <PMID: 12648000>.

Source: Medical Disability Advisor


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