Carpal Tunnel Syndrome
Conditions
Keywords
Carpal Tunnel Syndrome, Median Nerve, Ultrasonography, Prospective cohort study
Brief summary
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.
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.
Interventions
Surgical decompression of the median nerve
Conservative treatment typically consisted of splinting and corticosteroid injections
Sponsors
Study design
Eligibility
Inclusion criteria
* wrists with established CTS
Exclusion criteria
* prior surgery for CTS * traumatic lesions * coexistent neurological disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measure of the largest cross-sectional area (CSA) of the median nerve | Before and 4 months after initiation of treatment |
Countries
Switzerland