Sonographic Follow-up of Patients With Carpal Tunnel Syndrome Undergoing Surgical or Conservative Treatment (CTS)
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Carpal Tunnel Syndrome |
Procedure: Decompression Procedure: Conservative treatment |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Sonographic Follow-up of Patients With Carpal Tunnel Syndrome Undergoing Surgical or Conservative Treatment: Prospective Cohort Study. |
- Measure of the largest cross-sectional area (CSA) of the median nerve [ Time Frame: Before and 4 months after initiation of treatment ] [ Designated as safety issue: No ]
| Enrollment: | 55 |
| Study Start Date: | January 2002 |
| Study Completion Date: | December 2003 |
| Primary Completion Date: | June 2003 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
1
Surgical treatment
|
Procedure: Decompression
Surgical decompression of the median nerve
|
|
2
Conservative treatment
|
Procedure: Conservative treatment
Conservative treatment typically consisted of splinting and corticosteroid injections
|
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with suspected CTS
Inclusion Criteria:
- wrists with established CTS
Exclusion Criteria:
- prior surgery for CTS
- traumatic lesions
- coexistent neurological disease
Contacts and Locations| Switzerland | |
| Dep. of Plastic and Hand Surgery, Bern University Hospital | |
| Bern, Switzerland | |
| Study Director: | Peter Jüni, MD | Institute of Social and Preventive Medicine, University of Bern, Switzerland |
| Principal Investigator: | Hans-Rudolf Ziswiler, MD | Dep. of Rheumatology, Immunology and Allergology, Bern University Hospital, Switzerland |
More Information
Publications:
| Responsible Party: | Peter Jüni, MD, Institute of Social and Preventive Medicine, University of Bern, Switzerland |
| ClinicalTrials.gov Identifier: | NCT00694265 History of Changes |
| Other Study ID Numbers: | CTU_CTS, UBern_CTS |
| Study First Received: | June 6, 2008 |
| Last Updated: | August 25, 2008 |
| Health Authority: | Switzerland: Ethikkommission |
Keywords provided by University of Bern:
|
Carpal Tunnel Syndrome Median Nerve Ultrasonography Prospective cohort study |
Additional relevant MeSH terms:
|
Carpal Tunnel Syndrome Median Neuropathy Mononeuropathies Peripheral Nervous System Diseases Neuromuscular Diseases |
Nervous System Diseases Nerve Compression Syndromes Cumulative Trauma Disorders Sprains and Strains Wounds and Injuries |
ClinicalTrials.gov processed this record on May 16, 2013