Carpal Tunnel Syndrome
Conditions
Interventions
Ultrasound-guided needle-knife release group:Perform ultrasound-guided needle-knife release
Mini-open carpal tunnel release group:Perform mini-open carpal tunnel release
Sponsors
Northern Jiangsu People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: (1) 18 to 70 years old; (2) patients with typical symptoms of CTS (numbness, tingling, weakness, aggravation of symptoms at night) and typical signs (positive Tinel sign or Phalen sign of median nerve); (3) Electromyography showed median nerve damage; (4) B-ultrasound examination showed median nerve compression in the carpal tunnel; (5) Conservative treatment such as oral mecobalamin and local injection of corticosteroids is not effective; (6) able to understand the study process, voluntarily participate in this study, accept postoperative follow-up, and sign informed consent.
Exclusion criteria
Exclusion criteria: (1) B-ultrasound examination showed median nerve bifurcation, persistent median artery, or carpal tunnel compression caused by tumor or fracture block at the entrance of carpal tunnel. (2) systemic or surgical site infection; (3) cervical spondylotic radiculopathy or diabetic peripheral neuropathy; (4) allergy to local anesthetic drugs; (5) Unable to complete the questionnaire due to language and cognitive impairment; (6) pregnant or lactating; (7) patients with severe heart disease and uncontrolled hypertension are expected to be unable to tolerate surgery; (8) There are any conditions that may affect the study participation or the safety of the subjects in the judgment of the investigator, such as concomitant diseases, mental disorders, uncontrolled infections, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cross-sectional area of the median nerve at the hamate plane compression;Cross-sectional area of the median nerve at the carpal tunnel entrance;Cross-sectional area of the median nerve at the exit of the carpal tunnel;Boston carpal tunnel questionnaire symptom severity scale scores;Boston carpal tunnel syndrome questionnaire functional status scale;Visual analogue scale scores; | — |
Secondary
| Measure | Time frame |
|---|---|
| Electrophysiological indicators;Cost of surgery; | — |
Countries
China
Contacts
Public ContactXiaoqin Qian
Northern Jiangsu People's Hospital
Outcome results
None listed