Carpal Tunnel Syndrome
Conditions
Interventions
experimental group:Novel endoscopic carpal tunnel release
control group:conventional open carpal tunnel release surgery
Sponsors
Beijing Ji-Shui-Tan Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Including criteria 1. Symptoms for at least 1 month in at least two digits on one hand that include thumb, index, long or radial side of ring finger 2. Failure for at least 1 month of non-surgical treatment (medicine, immobilization or local blocking) 3. Meet to the criteria of electromyography ; 4. Aged >= 18 years; 5. Willing to participate this trial; 6. Moderate or severe carpal tunnel syndrome according to Hamada classification. Electromyography criteria (any one of the following) 1. Median motor latency at the wrist >= 4.5ms; 2. Sensory conduction velocity of median nerve at the wrist <50m/s; 3. Abnormal appearance of an waveform of the abductor pollicis brevis muscle.
Exclusion criteria
Exclusion criteria: 1. Previous carpal tunnel surgery on the study hand; 2. Any wrist or hand surgery within the previous 6 months; 3. Moderate to severe arthritis involving the study hand or wrist; 4. Known tumor, mass, or deformity of the study hand or wrist; 5. History of severe trauma to the study hand or wrist; 6. Current pregnancy or lactation; 7. Evidence of diffuse peripheral neuropathy or cervical radiculopathy; 8. Cases who had labor compensation disputes; 9. The patients who were not suitable for endoscopic release due to anatomical variation or other factors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Boston CTS questionnaire; | — |
Secondary
| Measure | Time frame |
|---|---|
| the time of patients recovered daility life and/or work;operative time and incision length;pain score;complication;DASH score;The Pittsburgh sleep quality index; | — |
Countries
China
Contacts
Public ContactYaobin Yin
Beijing Ji-Shui-Tan Hospital
Outcome results
None listed