Carpal tunnel syndrome
Conditions
Interventions
Experimental group:modified small-incision single-door suspension plasty
Control group:Traditional small incision surgery
Observation Group: modified small-incision single-door suspension plasty
Sponsors
Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Typical clinical symptoms, such as numbness, pain, and nocturnal awakening in the median innervated area; 2. Typical Tinel's sign (+) and Phalen's sign (+) at the carpal tunnel; 3. Prolonged latency of median nerve compound muscle action potential (CMAP), reduced nerve conduction velocity and reduced amplitude of sensory nerve action potential (SNAP); 4. Ultrasound findings of the median nerve showed blood flow signals, thickening of the outer nerve membrane, echogenic changes, and a horizontal cross sectio SA (cross sectio SA) of pea bone of >14 mm^2; 5. Voluntary participation in the postoperative follow-up and signing the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Diseases with secondary etiology such as bony abnormalities of the carpal joints and joint deformities; 2. Diseases causing peripheral neuropathy, such as diabetes mellitus, cervical spondylosis, and hypothyroidism; 3. Pathologic changes, such as wrist swelling, gout stones, rheumatoid synovitis, etc; 4. Brachial plexus injury, wrist trauma, and a history of steroid hormone injections in the wrist; 5. Severe heart, brain, liver and kidney disease; 6. Bleeding disorders and abnormal coagulation function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Excellent rate of postoperative functional scores for Yudong Gu;Post-operative recurrence rate;Boston Carpal Tunnel Scale (BCTQ) scores; | — |
Secondary
| Measure | Time frame |
|---|---|
| Median nerve sensory nerve action potential (SNAP) wave amplitude;Compound muscle action potential (CMAP) latency;Median nerve cross-sectional area (CSA) at the level of the pea bone; | — |
Countries
China
Contacts
Public ContactXie Qinci
Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian)
Outcome results
None listed