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Sonographic Follow-up of Patients With Carpal Tunnel Syndrome Undergoing Surgical or Conservative Treatment

Completed
Conditions
Carpal Tunnel Syndrome
Interventions
Procedure: Decompression
Procedure: Conservative treatment
Registration Number
NCT00694265
Lead Sponsor
University of Bern
Brief Summary

In wrists with carpal tunnel syndrome (CTS) the sonographically measured largest cross-sectional area (CSA) of the median nerve is increased. We compared the changes in largest CSA in wrists undergoing surgical decompression and wrists undergoing conservative treatment of CTS.

Detailed Description

Objective:

In wrists with carpal tunnel syndrome (CTS) the sonographically measured largest cross-sectional area (CSA) of the median nerve is increased. We compared the changes in largest CSA in wrists undergoing surgical decompression and wrists undergoing conservative treatment of CTS.

Methods:

Prospective cohort study in 55 consecutive patients with 78 wrists with established CTS, including 60 wrists with surgical decompression and 18 wrists with conservative treatment. A sonographic examination was scheduled before and at 4 months after initiation of treatment. Changes in CSA between wrists with surgical and wrists with conservative treatment were compared using linear regression models.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • wrists with established CTS
Exclusion Criteria
  • prior surgery for CTS
  • traumatic lesions
  • coexistent neurological disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
1DecompressionSurgical treatment
2Conservative treatmentConservative treatment
Primary Outcome Measures
NameTimeMethod
Measure of the largest cross-sectional area (CSA) of the median nerveBefore and 4 months after initiation of treatment
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Dep. of Plastic and Hand Surgery, Bern University Hospital

🇨🇭

Bern, Switzerland

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