Carpal Tunnel Syndrome (CTS)
Conditions
Keywords
Endoscopic carpal tunnel release, Open carpal tunnel release
Brief summary
We are looking at whether there is a difference in pain and function in the very early period when comparing carpal tunnel release performed by the endoscopic technique versus the open technique.
Detailed description
The purpose of our study is to examine the very early (\<2 weeks post-op) outcomes of endoscopic versus open carpal tunnel releases (CTR). We will call patients on post-operative days 3, 7 and 14 and collect Single Assessment Numeric Evaluation (SANE), Patient Related Wrist and Hand Evaluation (PRWHE), Visual Analog Scale (VAS) pain and return to work status at each time frame to see if there is any difference between the two procedures.
Interventions
PROCEDURECarpal Tunnel Release
Description: An open incision was made over the proximal palm to access and visualize transverse carpal tunnel, then divided it completely surgically. In the endoscopic technique, a small incision is made over the distal wrist and a camera and blade are within the wrist, then the transverse carpal ligament is divide from inside the palm
Sponsors
Stanford University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients 18 years of age or older * Diagnosed with carpal tunnel syndrome and indicated to undergo carpal tunnel release with one of the three participating hand surgeons were included in this study.
Exclusion criteria
* Patients younger than 18 years old * Pregnant women * Revision carpal tunnel surgery, or patients who underwent any other type of surgery concomitantly with the carpal tunnel release.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain | This was assessed at post-operative days 3, 7, and 14 | This was evaluated by administering the Patient Related Wrist and Hand Evaluation (PRWHE) questionnaire as well as obtaining a pain score using the Visual Analog Scale (VAS). |
| Function | Function was assessed at post-operative days 3, 7 and 14. | Patients were first asked to assess the function of their operative hand and wrist using the Single Assessment Numeric Evaluation (SANE) tool. Function was also assessed by administering the Patient Related Wrist and Hand Evaluation (PRWHE) questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Return to Work Status | Return to work status was assessed at post-operative days 3, 7, and 14. | Of those study patients who were not retired, we assessed if and when patients returned to work. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJeffrey Yao, MD
Stanford Department of Orthopedic Surgery
STUDY_DIRECTORRobert J Reitz, MD
Stanford Department of Orthopedic Surgery
Outcome results
None listed