[Carpal tunnel syndrome in patients with chronic renal insufficiency treated by hemodialysis]. / Le syndrome du canal carpien chez l'insuffisant rénal chronique traité par hémodialyse.

Carpal tunnel syndrome in patients with chronic renal failure under dialysis has been described lately. Its frequency, in the literature, varies between 2 and 15%. In our study, 12 patients of 283 (4.7%) developed symptoms of carpal tunnel syndrome. Cases are evenly distributed between male and female patients. The course is serious, since half the patients required surgery. Pathogenetic hypotheses include ischemia and vascular steal, edema, and amyloïdosis. Uremic peripheral neuropathy and carpal tunnel syndrome are independent.