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An acrimonious debate has developed over the question of whether some types of work are risk factors for carpal tunnel syndrome (CTS). In part, the acrimony results from a literature characterized by studies of heterogeneous methodological quality and inconsistent results. Unfortunately, as a consequence of serious methodological flaws, the recent article by Atcheson et al¹ in the ARCHIVES will add little to the resolution of this debate.

Atcheson et al attempt to assess associations between work and CTS and find little or no support for such an association. Unfortunately, as a result of at least 3 major methodological weaknesses, their study was unlikely to find an association between work and CTS whether or not one existed.

First, they used inappropriate comparison subjects. Specifically, individuals with painful conditions of the hands and arms (other than CTS) were used as comparison subjects for those with CTS. If occupational risk factors for CTS . . . [Full Text of this Article]

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Risk Factors for Carpal Tunnel Syndrome
Gerr et al.
Arch Intern Med 1999;159:1008-1010.
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