Macromastia: a Risk Factor for Carpal Tunnel Syndrome?

• Autor(a) principal: Silva Guerra, A
• Data de Publicação: 2011
• Outros Autores: Marques Correia, C, Videira e Castro, J, Almeida, MA
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.17/3187
• topic: Adult; Body Mass Index; Breast; Carpal Tunnel Syndrome; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Hypertrophy; Incidence; Mammaplasty; Middle Aged; Portugal; Prevalence; Retrospective Studies; Risk Factors; Young Adult; Electrodiagnosis; HSJ CPR

PURPOSE: To evaluate the prevalence of carpal tunnel syndrome (CTS) in a cohort of women with macromastia and to assess the evolution of the CTS signs and symptoms after breast surgery. POPULATION: A series of 123 women was evaluated. CTS was defined by co-existence of symptoms, two physical findings and electrophysiological evaluation. One year after reduction mammaplasty, the 22 patients who had been diagnosed CTS were re-evaluated. RESULTS: CTS group of women had a mean age of 38.8 years, mean body mass index of 28.5 kg/m(2) and mean breast size of 35.9 cm. Age and nipple-to-sternal notch distance were statistically significantly associated with CTS (p = 0.001 and p = 0.001, respectively). A year after surgery 15 patients were re-assessed: nine patients reported absence or improvement of CTS symptoms while six patients reported symptoms persistence or worsening. CONCLUSION: Age, breast size, but not body mass index, have a positive correlation with the CTS.