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Preventing the Work-Related Carpal Tunnel Syndrome: Physician Reporting and Diagnostic Criteria

Edward L. Baker, MD, MPH; and Richard L. Ehrenberg, MD
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Requests for Reprints: Richard L. Ehrenberg, MD, Building 1-3043, Mailstop D-26, Centers for Disease Control, 1600 Clifton Road, NE, Atlanta, GA 30333.

The National Institute for Occupational Safety and HealthCenters for Disease ControlAtlanta, GA 30333

Ann Intern Med. 1990;112(5):317-319. doi:10.7326/0003-4819-112-5-317
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The carpal tunnel syndrome is a relatively common disorder. As described by Katz and colleagues in this issue (1), the disorder is characterized by pain and paresthesias in the distribution of the median nerve; it is diagnosed through evaluating the medical history, physical findings, and results of electrophysiologic testing. Risk factors for the syndrome include diabetes, thyroid disorders, inflammatory arthritis of the wrist, alcohol use, and occupation. Although they have been well described, the contribution of occupational factors is often overlooked, despite recent research indicating that up to 47% of all cases of the carpal tunnel syndrome may be caused


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