The Professional Future in Operated Carpal Tunnel Syndrome: A Cross-Sectional Study of Recognized Occupational Cases

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Hanene Ben Said
Khaoula Kaabi
Neila Kerkeni
Imen Youssef
Najla Mechergui
Dorra Brahim
Imen Youssfi
Meriem Mersni
Ghada Bahri
Mongi Hamdouni
Nizar Ladhari


Carpel tunnel syndrome, Occupational disease, Surgery, Professional future


Background: Carpal tunnel syndrome (CTS) is frequently present among workers. This syndrome’s professional and economic impact makes it a priority in occupational health. We aimed to describe the professional future of workers suffering from occupational CTS after surgery and the factors that could influence their retention at the job. ­Methods: A retrospective descriptive study of workers operated on occupational CTS was conducted from 2014 to 2019. The data was collected using pre-established and phone questionnaires to determine their professional future after surgery. Results: We included 99 workers with operated CTS. They had a mean age of 45±6.5 years, were predominantly female (97%), and had two dependent children in 72.7% of cases. They worked as a seamstress in 44.4% of patients with a mean professional seniority of 18±7.2 years. The professional future was a return to work with a job transfer at 44.4% and job maintenance with ergonomic adjustments at 39.4%. A job loss was noticed in 12.2% of cases. Early retirement was noticed in 8.2%, dismissal in 3%, and resignation in 1% of cases. The factors influencing the professional future were age 50 to 59 years (p=0.01) and dependent children (p=0.02). Conclusions: In our survey, most operated-CTS workers benefited from a job transfer and kept their job with ergonomic adjustments to their work conditions. Therefore, interventions aiming to improve the professional future of workers operated on CTS by ensuring sufficient staff and adjusting workplaces are needed.


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1. Newington L, Harris EC, Walker-Bone K. Carpal tunnel syndrome and work. Best Pract Res Clin Rheumatol. 2015;29(3):440-453. Doi: 10.1016/j.berh.2015.04.026
2. Roquelaure Y, Bodin J, Descatha A, Petit A. Work-related musculoskeletal disorders. Rev Prat. 2018;68(1):84-90.
3. Mrabet Bahri D, Khiari H, Gmati A, et al. Carpal tunnel syndrome. A Tunisian series. Tunis Med. 2012;90(1):62-65.
4. Aouatef M, Asma B, Hajer H, Charfeddine A, Lamia B, Taoufik K. Work-related carpal tunnel syndrome treatment: a cross-sectional study among 106 patients. Reumatismo. 2017;69(2):59-64. Doi: 10.4081
5. Kraiem AM, Hnia H, Bouzgarrou L, Henchi MA, Khalfallah T. Impact socio professionnel de la libération chirurgicale du syndrome du canal carpien. Pan Afr Med J. 2016;24(234). Doi: 10.11604/pamj.2016.24.234.9259
6. Aloui A, Kacem I, Maoua M, et al. Le syndrome du canal carpien : quel impact sur le devenir professionnel ? Arch Mal Prof Env. 2018;79(3):359. Doi: 10.1016/j.admp.2018.03.323
7. Mahfoudh A, Henia H, Omrane A, et al. Libération chirurgicale du syndrome de canal carpien et devenir professionnel des patients. Arch Mal Prof Env. 2016;77(3):399.
8. Institut National de Recherche et de Sécurité. Les troubles musculosquelettiques du membre supérieur (TMS-MS). Guide pour les préventeurs. Available from:
9. Guan W, Lao J, Gu Y, et al. Case-control study on individual risk factors of carpal tunnel syndrome. Exp Ther Med. 2018 Mar;15(3):2761-6. Doi: 10.3892
/etm.2018.5817. Epub 2018 January 31st.
10. Lam N, Thurston A. Association of obesity, gender, age and occupation with carpal tunnel syndrome. Aust N Z J Surg. 1998;68(3):190-3. Doi: 10.1111/j.1445-2197.1998.tb04743.x
11. Ladhari N, Mechergui N, Bani M, et al. Enquête nationale sur les expositions professionnelles en Tunisie. Tunis Med. 2019;97(3):438-44.
12. Bhanderi DJ, Mishra DG, Parikh SM, Sharma DB. Computer use and carpal tunnel syndrome: a case-control study. Indian J Occup Environ Med. 2017;21(3):109-14. Doi: 10.4103/ijoem.IJOEM_66_17
13. Roquelaure Y, Ha C, Fouquet N, et al. Attributable risk of carpal tunnel syndrome in the general population: implications for intervention programs in the workplace. Scand J Work Environ Health. 2009 Oct;35(5):342-8.
Doi: 10.5271/sjweh.1342. Epub 2009 July 2nd.
14. Kho JY, Gaspar MP, Kane PM, et al. Prognostic variables for patient return-to-work interval following carpal tunnel release in a workers’ compensation population. Hand. 2017;12(3):246-51. Doi: 10.1177/1558944716661991. Epub 2016 July 28th.
15. Parot E, Roquelaure Y, Leclerc A, et al. Devenir professionnel après intervention chirurgicale pour un syndrome du canal carpien : description et facteurs associés dans la population active des pays de la Loire. Rev Epidemiol Santé Publique. Sep 2008;56(5 Suppl 1):S280-1. Doi : 10.1016/j.respe.2008.06.090
16. Samson P. Le syndrome du canal carpien. Chirurgie de la main. Déc 2004;23:S165-S177. Doi: 10.1016/j.main.2004.10.016
17. Nolan 3rd WB, Alkaitis D, Glickel SZ, Snow S. Results of treatment of severe carpal tunnel syndrome. J Hand Surg Am. 1992 Nov;17:1020-3. Doi: 10.1016/s0363-5023(09)91050-4
18. DeStefano F, Nordstrom DL, Vierkant RA. Long-term symptom outcomes of carpal tunnel syndrome and its treatment. J Hand Surg Am. 1997;22(2):200-10. Doi: 10.1016/S0363-5023(97)80152-9
19. Al-Qattan MM, Bowen V, Manktelow RT. Factors associated with poor outcome following primary carpal tunnel release in non-diabetic patients. J Hand Surg Br. 1994;19(5):622-5. Doi: 10.1016/0266-7681(94)90130-9
20. Haupt WF, Wintzer G, Schop A, et al. Long-term results of carpal tunnel decompression. Assessment of 60 cases. J Hand Surg Br. 1993 Aug;18(4):471-4. Doi: 10.1016/0266-7681(93)90149-a
21. Al-Qattan MM, Manktelow RT, Bowen CV. Outcome of carpal tunnel release in diabetic patients. J Hand Surg Br. 1994;19(5):626-9. Doi: 10.1016/0266-7681(94)90131-7