Comparison of local and intramuscular steroid injection in patients with carpal tunnel syndrome
- Conditions
- Health Condition 1: G560- Carpal tunnel syndrome
- Registration Number
- CTRI/2021/07/035227
- Lead Sponsor
- I
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
• Subjects satisfying the clinical and electrodiagnostic criteria for carpal tunnel syndrome.
CTS-6 EVALUATION TOOL:
A)Symptoms and History:
1.Numbness predominantly or exclusively in the median nerve territory- 3.5
2.Nocturnal numbness- 4
B)Physical examination:
3.Thenar atrophy and/or weakness- 5
4.Positive Phalenâ??s test- 5
5.Loss of 2-point discrimination- 4.5
6.Positive Tinel sign- 4
Total- 26
ELECTRODIAGNOSTIC CRITERIAS FOR CARPAL TUNNEL SYNDROME:
A.Distal medial motor latency >4.4ms.
B.Difference between distal motor latency of median and ulnar nerve >1.1ms.
C.Difference between distal sensory latency of median and ulnar nerve >0.2ms.
D.i. Difference between median and ulnar sensory latency on stimulating 4th digit and recording from wrist at equal distance >0.2ms.
ii.Difference between median and radial sensory latency on stimulating thumb and recording from wrist at equal distance >0.4ms.
E.Palm wrist conduction: difference between median and ulnar sensory latency across 8cm >0.4ms.
F.Inching technique: latency jump >0.2ms/cm.
G.Comparison of lumbricals (median nerve) and interosseous (ulnar nerve) latencies >=0.6ms
• Subjects willing to provide informed written consent
Subjects will not participate in the study if they meet any of the following criteria:
1.Uncontrolled diabetes mellitus
2.Hypothyroidism
3.Inflammatory arthritis
4.Pregnancy
5.History of previous wrist fracture.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method