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I read with interest the article in the ARCHIVES "Concurrent Medical Disease in Work-Related Carpal Tunnel Syndrome"¹ as well as its accompanying editorial, "The Many Faces of Carpal Tunnel Syndrome."² This communication is intended to relay my experience in this matter and to comment on some suggestions made in these 2 communications.

Over approximately the last year I have seen 17 patients (16 men; 1 woman) with presumed work-related carpal tunnel syndrome (CTS). The average age of the men was 50.4 years at the time of the evaluation; of the woman,52 years. All had physical jobs that required repetitive use of the arms, hands, and wrists as well as the use of tools that would entail vibratory motions such as air hammers or jackhammers. I thoroughly evaluated each of these 17 patients using a patient history; physical examination; and testing that included serologic studies for connective tissue diseases such as . . . [Full Text of this Article]