Carpal Tunnel Syndrome
Conditions
Keywords
Carpal tunnel syndrome, CTS, medianus impingement
Brief summary
Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment. Diagnosis is based on symptoms, clinical findings and electrophysiological examination. Several conservative and surgical treatment options have been described. Studies of surgical versus conservative treatment in mild carpal tunnel syndrome have not been done and it is still unclear whether or not surgical treatment is better than conservative treatment. The aim of this study is to research has surgery better outcome in mild CTS than conservative treatment. Patient satisfactory, clinical and electrophysiologic outcomes, direct and indirect costs will be evaluated.
Interventions
PROCEDUREopen carpal tunnel release
surgery to release the carpal tunnel
OTHERNight-cast
individual night time splinting
Sponsors
North Karelia Central Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* electrophysiologically proven minimal or mild CTS lasting more than six months will be included in this study
Exclusion criteria
* rheumatoid arthritis * diabetes mellitus * hypothyreosis * pregnancy * wrist trauma or previous surgery * splinting or corticosteroid injection on the affected side
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Symptom Severity Score | 1 year |
| Pain Visual Analogue Scale (VAS) | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Change in electroneuromyography | 1 year |
Countries
Finland
Outcome results
None listed