Carpal Tunnel Syndrome (CTS)
Conditions
Keywords
ultrasound
Brief summary
The aim of this study is to explore the application value of multimodal ultrasound parameters in the diagnosis and treatment follow-up of Carpal Tunnel Syndrome.
Interventions
Under ultrasound guidance, a mixed solution of corticosteroids and local anesthetics is injected around the nerve, followed by release of the transverse carpal ligament.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age between 18 and 70 years; 2. Presence of sensory abnormalities and motor dysfunction in the median nerve distribution area; 3. Positive Tinel's sign or Phalen's test; 4. Neurophysiological examination consistent with mild to moderate Carpal Tunnel Syndrome.-
Exclusion criteria
1. Severe Carpal Tunnel Syndrome; 2. Concurrent rheumatic, metabolic, systemic, or other systemic diseases; 3. Concurrent cervical spondylosis or other peripheral neuropathies; 4. Wrist joint trauma, surgery, space-occupying lesions, or nerve itself with space-occupying lesions; 5. Concurrent malignant tumors or severe cardiopulmonary diseases; 6. History of previous wrist surgery or injections; 7. Pregnancy; 8. Allergy to corticosteroids or local anesthetics.-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Boston Carpal Tunnel Syndrome Questionnaire ,BCTQ | 1,3,6,12 months | The Boston Carpal Tunnel Score is a patient-reported questionnaire that examines symptom severity and overall functional status of patients with carpal tunnel syndrome. The Symptom Severity Scale (SSS) with 11 questions is scored on a Likert scale of 1-5 and the Functional Status Scale (FSS) with 8 questions is scored from 1-5 with 1 as no difficulty and 5 as difficult.The higher scores mean a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the patient's sensory nerve conduction velocity (SNCV) | 3,6,12months | SNCV in m/s |
| the patient's distal motor latency (DML). | 3,6,12months | DML in ms |