NL-OMON37253
Completed
Not Applicable
Morphological and functional changes of the median nerve after neurolysis for carpal tunnel syndrome - ultrasonography of the median nerve after neurolysis for CTS
Atrium Medisch Centrum0 sites100 target enrollmentTBD
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- carpal tunnel syndrome
- Sponsor
- Atrium Medisch Centrum
- Enrollment
- 100
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Age \> 18 years
- •2\. Clinical signs of carpal tunnel syndrome, as described by the AAN criteria for CTS: paresthesias, pain, swelling, weakness, or clumsiness of the hand (digit 1\-4\) provoked or worsened by sleep, sustained hand or arm position, or repetitive action of the hand or wrist that is mitigated by changing posture or by shaking of the hand; sensory deficits in the median innervated region of the hand; and motor deficit or hypotrophy of the median innervated thenar muscles
- •3\. Electrophysiological evidence of CTS (see below)
- •4\. Surgery is the preferred treatment modality
- •5\. Patients having bilateral CTS can only participate with the most affected side.
- •6\. Criterium for the time interval between initial exam and surgery: within 5 weeks
- •7\. Able to read and understand written questionnaires (in Dutch)
- •8\. Informed written consent
Exclusion Criteria
- •1\. Unable to follow up
- •2\. Prior surgery or trauma on the wrist / median nerve
- •3\. Previous surgery for carpal tunnel syndrome; previous surgery for CTS on the contralaterale side is not an exclusion criterium.
- •4\. Treatment with splints or corticosteroids the past 6 months.
- •5\. Clinical or electrophysiological evidence of conditions that could mimic CTS or interfere with its
- •validation (cervical radiculopathy, brachial plexopathy, thoracic outlet syndrome, pronator teres syndrome, ulnar neuropathy, polyneuropathy, Raynaud\*s disease, sympathic dystrophy)
- •6\. Underlying causes of CTS: diabetes, thyroid disease, rheumatoid arthritis, chronic renal failure
- •treated by hemodialysis, space\-occupying lesions a the volar wrist. A bifid median nerve of persistant median artery are no exclusion criteria.
- •7\. Pregnancy
Outcomes
Primary Outcomes
Not specified
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