Abstract
Introduction
The development of a carpal tunnel syndrome has become an increasingly recognized problem in patients who are treated by long-term hemodialysis. Arteriovenous fistula has been identified as one of the possible cause for the development of carpal tunnel syndrome.
Materials and methods
Wrists of 558 hemodialysis patients who had fistula at least 1 year served as the case group and the other intact wrists of the same patients served as the control group. Carpal tunnel syndrome was diagnosed clinically; however, 232 random patients underwent electrodiagnostic studies the day after hemodialysis.
Results
In 170 (30.5%) wrists with arteriovenous fistula developed carpal tunnel syndrome versus 68 (12.2%) in the contralateral wrist. Three patients had a concurrent diagnosed radial steal syndrome. In all three wrists that had radial steal syndrome developed carpal tunnel syndrome.
There was a correlation, however, between the development of the carpal tunnel syndrome, and the side of the longest vascular access. Contrary to the clinical assessment, electrodiagnostic studies did not indicate any significant association between the frequency of carpal tunnel syndrome and arteriovenous fistula or its duration.
Conclusion
Hemodialysis patients are at considerable risk of developing carpal tunnel syndrome in the wrist with an arteriovenous fistula. Close observation and routine clinical examination is mandatory to prevent further problems.
Similar content being viewed by others
References
Chapall R, Coates V, Turkelson C (2003) Poor outcome for neural with carpal tunnel release alone: a meta-analysis of global outcomes. Plast Reconstr Surg 112:983–989
Katz JN, Simmons BP (2002) Carpal tunnel syndrome. N Engl J Med 346:1807–1811
Delmez JA, Holtmann B, Sicard GA et al (1982) Peripheral nerve entrapment syndrome in chronic hemodialysis patients. Nephron 30:118–123
Fullerton PM (1963) The effect of ischemia on nerve conduction in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 26:385–397
Kessler M, Netter P, Azouley E et al (1992) Dialysis-associated arthropathy: a multicentre survey of 171 patients receiving hemodialysis for over 10 years. Br J Rheumatol 31:117–164
Sivri A, Celiker R, Sungur C et al (1994) Carpal tunnel syndrome: a major complication in hemodialysis patients. Scand J Rheumatol 23:287–294
Kuchle C, Fricke H, Held E et al (1996) High-flux hemodialysis post pones clinical manifestations of dialysis-related amyloidosis. Am J Nephrol 16:484–549
Buxbaum JN (2003) The systemic amyloidosis. Curr Opin Rheumatol 16:67–71
Munoz-Gomez J, Bergada-Barado E, Gomez-Perez R et al (1984) Amyloid arthropathy in patients undergoing periodical hemodialysis for chronic renal failure: a new complication. Ann Rheum Dis 44:729–733
Pal B (2001) Diagnosis of carpal tunnel syndrome. Rheumatology 40:595–599
Mondelli M, Gianninin F, Giacci M (2002) Carpal tunnel syndrome incidence in a general population. Neurology 58:289–292
Depalma JR, Vannix R, Bahuth J (1973) Steal syndrome, ischemia, congestive failure and peripheral neuropathy. Proc Clin Dial Transplant 3:9–11
Fullerton PM (1963) The effect of ischemia on nerve conduction in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 26:385–397
Gilbert MS, Robinson A, Baez A et al (1988) Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis. J Bone Joint Surg 70(A):1145–1153
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article is available at http://dx.doi.org/10.1007/s00402-015-2224-8.
The article has been retracted by the Co-Editor because it has been found that the authors have duplicated substantial parts and have manipulated some original data from the following article: Association between Carpel Tunnel Syndrome and Arteriovenous Fistula in Hemodialysis Patients, Jamal Gousheh, Afshin Iranpour, Plastic and Reconstructive Surgery, Vol. 116, No. 2, pages 508 -513, DOI: 10.1097/01.prs.0000172893.59458.8a, without acknowledging the source.
About this article
Cite this article
Namazi, H., Majd, Z. RETRACTED ARTICLE: Carpal tunnel syndrome in patients who are receiving long-term renal hemodialysis. Arch Orthop Trauma Surg 127, 725–728 (2007). https://doi.org/10.1007/s00402-007-0350-7
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-007-0350-7