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Is carpal tunnel syndrome overdiagnosed?
  1. Jørgen Riis Jepsen
  1. Correspondence to Dr Jørgen Riis Jepsen, Department of Occupational Medicine, Sydvestjysk Sygehus Esbjerg, Østergade 81-83, DK-6700 Esbjerg, Denmark; joergen.riis.jepsen{at}

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While carpal tunnel syndrome (CTS) is perceived frequently as work-related in the USA, European researchers are less convinced about its association with physical workplace exposures.1 A recent cross-sectional study by Burt et al on risk factors for CTS2 based on a well-described exposure assessment and diagnostic consensus criteria3 found dominant hand CTS in 11.9% of the study population.

I invite readers for a discussion about the nature of the many alleged cases of CTS in this and other studies. I question the applied diagnostic criteria and suspect ailments other than CTS in some workers …

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