Carpal Tunnel Syndrome, Diabetes, Nerve Entrapment
Conditions
Keywords
Carpal tunnel syndrome, Entrapment neuropathies, Diabetes
Brief summary
The aim of this study is to extend a previously reported 1 year follow-up on carpal tunnel release, in matched diabetic and non-diabetic patients,to compare outcomes 5 years after surgery.
Detailed description
The Follow-up investigation includes: 1. Clinical examination of sensory and motor function 2. Generic and disease specific self-administered questionnaires 3. Nerve conduction study 4. Vibration threshold testing
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* diabetic and non-diabetic patients operated for carpal tunnel syndrome 5 years ago.
Exclusion criteria
* previous carpal tunnel release in the hand under study * clinical signs of nerve entrapment other than CTS * cervical radiculopathy, inflammatory joint disease * renal failure * thyroid disorders * previous wrist fracture on the affected side * daily long-term exposure to vibrating tools * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient self-reported outcome questionnaire | 5 years after carpal tunnel release | Measured by 1). Boston Carpal Tunnel Questionnaire regarding carpal tunnel symptoms and disability. 2). Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) registering health-related quality of life. 3). Cold intolerance on a CISS score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nerve conduction study and vibrotactile sense | 5 years after carpal tunnels release | Change in Median nerve function by measuring Distal motor latency and antidromic sensory conduction velocity over the carpal tunnel segment. Evaluate development of peripheral neuropathy by measure of sural nerve sensory conduction velocity, sural nerve amplitude and peroneal nerve motor conduction velocity. Vibrotactile sense of the hand measured at 7 difference frequences from 5 - 500 Hz. |
Countries
Sweden