Smoking is associated with ulnar nerve entrapment

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Hulkkonen , S , Auvinen , J , Miettunen , J , Karppinen , J & Ryhänen , J 2019 , ' Smoking is associated with ulnar nerve entrapment : a birth cohort study ' , Scientific Reports , vol. 9 , 9450 . https://doi.org/10.1038/s41598-019-45675-1

Title: Smoking is associated with ulnar nerve entrapment;
a birth cohort study
Author: Hulkkonen, Sina; Auvinen, Juha; Miettunen, Jouko; Karppinen, Jaro; Ryhänen, Jorma
Contributor: University of Helsinki, Department of Surgery
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
Date: 2019-07-01
Number of pages: 7
Belongs to series: Scientific Reports
ISSN: 2045-2322
URI: http://hdl.handle.net/10138/305360
Abstract: Ulnar nerve entrapment is the second most common compression neuropathy of the upper extremity. It has been associated with smoking in cross-sectional studies. Our aim was to study whether smoking is associated with ulnar nerve entrapment. The study population consisted of the Northern Finland Birth Cohort 1966 participants, who attended the 31-year follow-up in 1997 (N = 8,716). Information on smoking, body mass index (BMI), long-term illnesses, and socio-economic status were recorded at baseline in 1997. Data on hospitalizations due to ulnar nerve entrapment neuropathies was obtained from the Care Register for Health Care, 1997-2016. Hazard ratios (HR) with 95% confidence intervals (CI) and population attributable risk (PAR) were calculated adjusted for gender, BMI and socio-economic status. 66 patients were diagnosed with ulnar nerve entrapment in the follow-up 1997-2016. Before the age of 31 years, smoking 10 pack years with more than five-folded (HR = 5.61, 95% CI = 2.80-11.23) risk for ulnar nerve entrapment compared to non-smokers in the adjusted analyses. Adjusted PAR for smoking (reference of no smoking) was 53.6%. In our study, smoking associated with increased risk for ulnar nerve entrapment, accounting for considerable proportion of increased risk.
Subject: CIGARETTE-SMOKING
RISK-FACTORS
NEUROPATHY
MONONEUROPATHY
PREVALENCE
OBESITY
ELBOW
3126 Surgery, anesthesiology, intensive care, radiology
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