Carpal tunnel syndrome in breast cancer survivors with upper extremity lymphedema
ABSTRACT Introduction: Lymphedema has long been considered a risk factor for median nerve compression at the wrist and carpal tunnel syndrome (CTS). This association is based on limited and poor quality data. We analyzed the association between lymphedema and CTS. Methods: Breast cancer survivors wi...
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| Veröffentlicht in: | Muscle & nerve 2015-06, Vol.51 (6), p.864-869 |
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| creator | Stubblefield, Michael D. Kim, Arum Riedel, Elyn R. Ibanez, Katarzyna |
| description | ABSTRACT
Introduction: Lymphedema has long been considered a risk factor for median nerve compression at the wrist and carpal tunnel syndrome (CTS). This association is based on limited and poor quality data. We analyzed the association between lymphedema and CTS. Methods: Breast cancer survivors with upper extremity lymphedema and electrophysiologically confirmed CTS were assessed retrospectively. The severity of lymphedema was graded using the National Institutes of Health Common Terminology Criteria for Adverse Events (CTCAE) v4.03. The severity of CTS was graded in accordance with accepted criteria. Results: Nineteen patients (38 sides) met the criteria for analysis. There was no association between presence of lymphedema and CTS (P = 0.66) or between lymphedema severity and CTS severity (P = 0.79). There were no cases of infection or worsening lymphedema as a result of needle EMG. Conclusions: These findings do not support lymphedema as an etiologic factor in the pathogenesis of CTS. Muscle Nerve 51: 864–869, 2015 |
| doi_str_mv | 10.1002/mus.24506 |
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Introduction: Lymphedema has long been considered a risk factor for median nerve compression at the wrist and carpal tunnel syndrome (CTS). This association is based on limited and poor quality data. We analyzed the association between lymphedema and CTS. Methods: Breast cancer survivors with upper extremity lymphedema and electrophysiologically confirmed CTS were assessed retrospectively. The severity of lymphedema was graded using the National Institutes of Health Common Terminology Criteria for Adverse Events (CTCAE) v4.03. The severity of CTS was graded in accordance with accepted criteria. Results: Nineteen patients (38 sides) met the criteria for analysis. There was no association between presence of lymphedema and CTS (P = 0.66) or between lymphedema severity and CTS severity (P = 0.79). There were no cases of infection or worsening lymphedema as a result of needle EMG. Conclusions: These findings do not support lymphedema as an etiologic factor in the pathogenesis of CTS. Muscle Nerve 51: 864–869, 2015</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.24506</identifier><identifier>PMID: 25363331</identifier><identifier>CODEN: MUNEDE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Breast cancer ; Breast Neoplasms - complications ; Carpal tunnel syndrome ; Carpal Tunnel Syndrome - diagnosis ; Carpal Tunnel Syndrome - etiology ; Electromyography ; electrophysiological testing ; Female ; Humans ; lymphedema ; Lymphedema - complications ; Middle Aged ; Neural Conduction - physiology ; rehabilitation ; Retrospective Studies ; Severity of Illness Index ; Survivors ; Upper Extremity - physiopathology</subject><ispartof>Muscle & nerve, 2015-06, Vol.51 (6), p.864-869</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3576-ccfd86d0ee77286b7a1fdb0c6c89f81422bc45f795d414d276c36a2a9c8e28cc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.24506$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.24506$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25363331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stubblefield, Michael D.</creatorcontrib><creatorcontrib>Kim, Arum</creatorcontrib><creatorcontrib>Riedel, Elyn R.</creatorcontrib><creatorcontrib>Ibanez, Katarzyna</creatorcontrib><title>Carpal tunnel syndrome in breast cancer survivors with upper extremity lymphedema</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>ABSTRACT
Introduction: Lymphedema has long been considered a risk factor for median nerve compression at the wrist and carpal tunnel syndrome (CTS). This association is based on limited and poor quality data. We analyzed the association between lymphedema and CTS. Methods: Breast cancer survivors with upper extremity lymphedema and electrophysiologically confirmed CTS were assessed retrospectively. The severity of lymphedema was graded using the National Institutes of Health Common Terminology Criteria for Adverse Events (CTCAE) v4.03. The severity of CTS was graded in accordance with accepted criteria. Results: Nineteen patients (38 sides) met the criteria for analysis. There was no association between presence of lymphedema and CTS (P = 0.66) or between lymphedema severity and CTS severity (P = 0.79). There were no cases of infection or worsening lymphedema as a result of needle EMG. Conclusions: These findings do not support lymphedema as an etiologic factor in the pathogenesis of CTS. Muscle Nerve 51: 864–869, 2015</description><subject>Adult</subject><subject>Aged</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - complications</subject><subject>Carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - diagnosis</subject><subject>Carpal Tunnel Syndrome - etiology</subject><subject>Electromyography</subject><subject>electrophysiological testing</subject><subject>Female</subject><subject>Humans</subject><subject>lymphedema</subject><subject>Lymphedema - complications</subject><subject>Middle Aged</subject><subject>Neural Conduction - physiology</subject><subject>rehabilitation</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Survivors</subject><subject>Upper Extremity - physiopathology</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctO3EAQRVsoCAbCIj8QtZRNNoZ-uF_LaAgDaAJEyYjsWu12WZj4Rbc9g_8ew5BZZFWlqnNLV3UR-kTJKSWEndVDPGWpIHIPzSgxKkmF0R_QjNBUJ5KbP4foKMZHQgjVUh2gQya45JzTGfo5d6FzFe6HpoEKx7HJQ1sDLhucBXCxx941HgKOQ1iX6zZEvCn7Bzx03TSE5z5AXfYjrsa6e4AcavcR7ReuinDyXo_R6uL77_llsrxdXM2_LRPPhZKJ90WuZU4AlGJaZsrRIs-Il16bQtOUscynolBG5ClNc6ak59IxZ7wGpr3nx-jr9m4X2qcBYm_rMnqoKtdAO0RLpaaGCkXMhH75D31sh9BM7l4pIrUWRE_U53dqyGrIbRfK2oXR_nvWBJxtgU1ZwbjbU2JfU7BTCvYtBftj9eutmRTJVlHGHp53Chf-Wqm4Evb-ZmHV8vqOn99dWsNfAIRuiWE</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Stubblefield, Michael D.</creator><creator>Kim, Arum</creator><creator>Riedel, Elyn R.</creator><creator>Ibanez, Katarzyna</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201506</creationdate><title>Carpal tunnel syndrome in breast cancer survivors with upper extremity lymphedema</title><author>Stubblefield, Michael D. ; Kim, Arum ; Riedel, Elyn R. ; Ibanez, Katarzyna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3576-ccfd86d0ee77286b7a1fdb0c6c89f81422bc45f795d414d276c36a2a9c8e28cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - complications</topic><topic>Carpal tunnel syndrome</topic><topic>Carpal Tunnel Syndrome - diagnosis</topic><topic>Carpal Tunnel Syndrome - etiology</topic><topic>Electromyography</topic><topic>electrophysiological testing</topic><topic>Female</topic><topic>Humans</topic><topic>lymphedema</topic><topic>Lymphedema - complications</topic><topic>Middle Aged</topic><topic>Neural Conduction - physiology</topic><topic>rehabilitation</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Survivors</topic><topic>Upper Extremity - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stubblefield, Michael D.</creatorcontrib><creatorcontrib>Kim, Arum</creatorcontrib><creatorcontrib>Riedel, Elyn R.</creatorcontrib><creatorcontrib>Ibanez, Katarzyna</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stubblefield, Michael D.</au><au>Kim, Arum</au><au>Riedel, Elyn R.</au><au>Ibanez, Katarzyna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carpal tunnel syndrome in breast cancer survivors with upper extremity lymphedema</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2015-06</date><risdate>2015</risdate><volume>51</volume><issue>6</issue><spage>864</spage><epage>869</epage><pages>864-869</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>ABSTRACT
Introduction: Lymphedema has long been considered a risk factor for median nerve compression at the wrist and carpal tunnel syndrome (CTS). This association is based on limited and poor quality data. We analyzed the association between lymphedema and CTS. Methods: Breast cancer survivors with upper extremity lymphedema and electrophysiologically confirmed CTS were assessed retrospectively. The severity of lymphedema was graded using the National Institutes of Health Common Terminology Criteria for Adverse Events (CTCAE) v4.03. The severity of CTS was graded in accordance with accepted criteria. Results: Nineteen patients (38 sides) met the criteria for analysis. There was no association between presence of lymphedema and CTS (P = 0.66) or between lymphedema severity and CTS severity (P = 0.79). There were no cases of infection or worsening lymphedema as a result of needle EMG. Conclusions: These findings do not support lymphedema as an etiologic factor in the pathogenesis of CTS. Muscle Nerve 51: 864–869, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25363331</pmid><doi>10.1002/mus.24506</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Breast cancer Breast Neoplasms - complications Carpal tunnel syndrome Carpal Tunnel Syndrome - diagnosis Carpal Tunnel Syndrome - etiology Electromyography electrophysiological testing Female Humans lymphedema Lymphedema - complications Middle Aged Neural Conduction - physiology rehabilitation Retrospective Studies Severity of Illness Index Survivors Upper Extremity - physiopathology |
| title | Carpal tunnel syndrome in breast cancer survivors with upper extremity lymphedema |
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