Korean J Nephrol.  2001 Mar;20(2):258-262.

Carpal Tunnel Syndrome in Chronic Renal Failure Patients Undergoing Continuous Ambulatory Peritoneal Dialysis(CAPD)

• Ha JS
• Lee HG
• Yoon HJ
• Kim YW
• Kim YH
• Park IS

Abstract

BACKGROUND: Carpal tunnel syndrome(CTS) is a long-term complication in dialysis patients which results from compression of the median nerve within the carpal tunnel. It has been reported to occur with increased frequency in the hemodialysis population, but, there are few reports concering long-term complications in CAPD because of the relatively shorter duration of dialysis in most CAPD patients. The aim of this study was to determine the incidence of CTS in patients undergoing CAPD.
METHODS
We analyzed 21 chronic renal failure (CRF) patients(males 14, females 7; age range 19-79 yr) undergoing CAPD. The patients were evaluated by questionnare, physical examination, and nerve conduction test(NCT). Age, gender, duration of CRF before CAPD, duration of CAPD, diabetic history were determined.
RESULTS
Among the total 21 patients undergoing CAPD, only 5 patients(24%) were CTS, diagnosed by NCT. Two of these patients were symptomatic CTS, three patients were non-symptomtic CTS. So, there were no relationship between the incidence of CTS and clinical symptoms. Among the diabetic dialysis patients, the incidence of CTS was 28.57%. Also there was no increase in the number of diatetic patients with CTS.
CONCLUSION
It is concluded that the incidence of CTS in CAPD patients was similar with the previous reported incidence(2-31%) of hemodialysis patients. Since CTS is treatable, annual or even semiannual nerve conduction tests is indicated all CRF patients on chronic dialysis.

Keyword

Carpal tunnel syndrome; Continuous ambulatory peritoneal dialysis

MeSH Terms

Carpal Tunnel Syndrome*
Dialysis
Female
Humans
Incidence
Kidney Failure, Chronic*
Median Nerve
Neural Conduction
Peritoneal Dialysis, Continuous Ambulatory
Physical Examination
Renal Dialysis