Carpal Tunnel Syndrome
Conditions
Brief summary
The investigators investigated the volume effect of hydrodissection for Injection therapies in patients with Carpal Tunnel Syndrome. The investigators evaluated participants by Shear Wave Ultrasound Elastography and Artificial Intelligence Imaging Analysis
Detailed description
The investigators investigated the volume effect of hydrodissection for Injection therapies in patients with Carpal Tunnel Syndrome. The investigators evaluated participants by Shear Wave Ultrasound Elastography and Artificial Intelligence Imaging Analysis
Interventions
Dextrose 1mL injection and hydrodissection for CTS
Dextrose 2mL injection
Dextrose 4mL injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 20-80 * Electrophysiological diagnosis of carpal tunnel syndrome * At least one of the following two: 1. Tenderness or numbness over median nerve innervated dermatome over 2 months 2. Phalen test or Tinel sign or flick sign positive
Exclusion criteria
* History of wrist surgery * Wrist trauma in recent two years * Received wrist injection in recent three months * History of brachial plexopathy, cervical radiculopathy or thoracic outlet syndrome * History of DM, thyroid disorder or autoimmune disease * Unable to cooperate with interview, examination or injection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Visual analog scale (VAS) | 1 week, 4 weeks, 12 weeks, 24 weeks | Change of Visual analog scale (VAS), from Baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Boston Carpal Tunnel Syndrome Questionnaire Score (BCTQ) | 1 week, 4 weeks, 12 weeks, 24 weeks | Boston Carpal Tunnel Syndrome Questionnaire Score (BCTQ), 19 items with each item scale 1-5 |
| QuickDASH | 1 week, 4 weeks, 12 weeks, 24 weeks | QuickDASH (The Disabilities of the Arm, Shoulder and Hand Score(QuickDash)), 11 items with each item scale 1-5 |
| MSK US finding | 1 week, 4 weeks, 12 weeks, 24 weeks | Cross-sectional area of median nerve |
Countries
Taiwan