Carpal Tunnel Syndrome
Conditions
Keywords
Carpal tunnel syndrome, CTS, Skinstiffness, Jointstiffness
Brief summary
The exact etiology of CTS remains yet unknown. A rise in carpal tunnel pressure is well documented, but why this phenomenon occurs is yet unknown in most patients. There is an absolute or relative narrowing of the carpal tunnel, which results in a compression of the median nerve. The investigators postulate, that a stiffer flexor retinaculum (roof of carpal tunnel) will be less compliant. As a consequence of this stiffer retinaculum the pressure in the carpal tunnel will rise more quickly in stiff patients resulting in CTS-complaints. A relation between connective tissue composition and joint stiffness is proven. This relationship possibly extends to a relation between stiffness of the skin, joint stiffness and the prevalence of CTS.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasian * Carpal tunnel release OR Trigger finger OR Dupuytren OR an acute trauma to the hand
Exclusion criteria
* Hypo-/hyperthyroidism * Diabetes * Arthritis * Pregnancy * Obesity (BMI \>30) * Anatomical anomalies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Joint stiffness | In the 1st month | The active range of motion (elbow, wrist, knee and ankle) is measured with a standard goniometer. |
| Stiffness of the skin | in the 1st month | Skinstiffness is measured with a suction cup |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical activities | In the 1st month | Boston Questionairre |
Countries
Netherlands