MedPath

Pre-operative Sonographic Assessment of The Median Nerve in Carpal Tunnel Syndrome. Does it Affect The Operative Procedure?

Completed
Conditions
CTS
Interventions
Diagnostic Test: ultrasonography
Registration Number
NCT03082027
Lead Sponsor
Minia University
Brief Summary

Sonographic Assessment of The Median Nerve in Carpal Tunnel Syndrome to assess the surgical importance and added value of superficial ultrasonography in assessment of the median nerve in CTS.

Detailed Description

Abstract Objective: To assess the surgical importance and added value of superficial ultrasonography in assessment of the median nerve in CTS.

Methods: The study was conducted on thirty patients with CTS with electrophysiological confirmation; twelve males and eighteen females with mean age 43.93±4.51 (range 35-52y), and another thirty normal subjects; fifteen males and fifteen females, with their mean age 36.7±4.86 (range 29-45y). The cross sectional area (CSA) and flattening ratio (FR) at different levels were measured on both groups. Data from the study and control groups were compared. The accuracy of the ultrasonographic diagnostic criteria for CTS was evaluated using receiver operating characteristic (ROC) analysis. All the patients had surgical carpal tunnel release and the operative details were correlated with the ultrasonographic data.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Carpal tunnel syndrome
Exclusion Criteria
  • bifid median nerve, carpal tunnel mass lesions, persistent median artery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
operative releaseultrasonography-
ultrasonographyultrasonographydiagnostic tool
Primary Outcome Measures
NameTimeMethod
cross sectional areathree minutes
flattening ratiothree minutes
Secondary Outcome Measures
NameTimeMethod
cross sectional area differencethree minutes
© Copyright 2025. All Rights Reserved by MedPath