Rizwan Ullah Khattak, Bilal Khan, Ikram Alam, Wefaq Ullah, Naseer Hassan.
Causes of Carpal Tunnel syndrome (CTS).
Pak J Neuro Surg Jan ;18(1):102-5.

Objective: To know about the pathological causes of carpal tunnel syndrome.Materials and Methods: This is retrospective cross sectional study on the patients operated by the senior author at his private clinic between January 2008 and March 2014. All the patients operated for carpal tunnel syndrome during the study period were included while those managed conservatively were excluded from the study. Pre-operatively all patients had undergone Nerve conduction studies and the procedure was performed under local anaesthesia. The pathology responsible for causing CTS was noted.Results: A total of 73 patients were operated for CTS during the study period by the senior author. There were 18 males and 55 females with a male to female ratio approaching 3.0:1. The age range was from 24 – 58 years with a mean age of 43.6 ± 4 years. The pathology was hypertrophied transverse carpal ligament in 66 (90%) cases, abnormal vessels in 1 (1%), neuroma in 1 (1%), fracture distal end of the radius in 2 (5%), ganglion com-pressing the nerve in 1 (1%), post cellulitis in 1 (1%) and direct trauma to the nerve in 1 (1%).Conclusion: Thickened ligamentum flavum is the most common cause of carpal tunnel syndrome and space occupying lesion constitute a considerable percent of pathology.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com