tunnelsyndrome
Conditions
Interventions
A: Patients in group 1 will be treated surgically with open release of the
carpal tunnel. The operation is carried out by a neurosurgeon. Patients in
group 2 are treated conservatively.
B: There is
Sponsors
Canisius Wilhelmina Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Paresthesia or pain in de area supplied by median nerve, with at least 2 of the following: nocturnal complaints, improvement by Flick's sign, worsening with handmovements. Normal electrodiagnostic investigation of the median nerve.
Exclusion criteria
Exclusion criteria: Clinical polyneuropathy, Trauma, bad general condition with reduced life expectancy, severe atrophy of m. Abductor pollicis brevis, pregnancy, alcoholism, arthritis of arthrosis, known diabetes mellitus, reumatoid arthritis, thyroid pathology, HNLPP, languagebarrier, psychiatric problem, other neurological problems in arm, former surgery, refusal surgery, age younger than 18, participance in other trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A: Primairy outcome measure: the percentage of patients with no complaints after 6 months. B: Primairy outcome measure: the percentage of patients with clinical definite and probable CTS with ultrasonography meeting the criteria of CTS. | — |
Secondary
| Measure | Time frame |
|---|---|
| A: Secundairy outcome measures: 1. The percentage of patients with an improvement of the Functional Status Score with 40 % or more after 6 months. 2. The percentage of patients in group 2 who are operated on after 6 months. 3. The percentage of patients in group 1 with persistent complaints of CTS. 4. The percentage of patients with ultrasonography meeting the criteria of CTS. B: Secundairy outcome measure: The correlation between nerve conduction studies and ultrasonography in patients with clinical definite and probable CTS. | — |
Countries
Netherlands
Outcome results
None listed