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Causation: an analysis of carpal tunnel syndrome and motor vehicle accidents

Melhorn, J Marka; Wilkinson, Larry Kb; Seaman, Shirley Mc

doi: 10.1097/BCO.0b013e318191e9b9

This review demonstrates an evidence-based method for a systematic review of the medical literature in determining the causality between carpal tunnel syndrome and motor vehicle accidents. A quality scoring methodology was applied to the current medical literature. The final summary impact score for the studies that met the inclusion criteria was 43.9. This result was applied to the strength of evidence table resulting in a final determination of “insufficient evidence“ to support the hypothesis that causality exists between motor vehicle accidents and the onset of carpal tunnel syndrome in individuals who have not experienced a sufficient traumatic event such as fracture of the same wrist at the time of the injury.

aSection of Orthopaedics, Department of Surgery, University of Kansas School of Medicine - Wichita, USA

bPro Med Physician Services, USA

cThe Hand Center, USA

Correspondence to J. Mark Melhorn, MD, Clinical Assistant Professor, The Hand Center, 625 N Carriage Parkway, Suite 125, Wichita, KS 67208-4510 Tel: +316 688 5656; fax: +316 683 8787; e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.