Sonographic Follow-up of Patients With Carpal Tunnel Syndrome Undergoing Surgical or Conservative Treatment

NCT ID: NCT00694265

Last Updated: 2008-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

55 participants

Study Classification

OBSERVATIONAL

Study Start Date

2002-01-31

Study Completion Date

2003-12-31

Brief Summary

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In wrists with carpal tunnel syndrome (CTS) the sonographically measured largest cross-sectional area (CSA) of the median nerve is increased. We compared the changes in largest CSA in wrists undergoing surgical decompression and wrists undergoing conservative treatment of CTS.

Detailed Description

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Objective:

In wrists with carpal tunnel syndrome (CTS) the sonographically measured largest cross-sectional area (CSA) of the median nerve is increased. We compared the changes in largest CSA in wrists undergoing surgical decompression and wrists undergoing conservative treatment of CTS.

Methods:

Prospective cohort study in 55 consecutive patients with 78 wrists with established CTS, including 60 wrists with surgical decompression and 18 wrists with conservative treatment. A sonographic examination was scheduled before and at 4 months after initiation of treatment. Changes in CSA between wrists with surgical and wrists with conservative treatment were compared using linear regression models.

Conditions

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Carpal Tunnel Syndrome

Keywords

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Carpal Tunnel Syndrome Median Nerve Ultrasonography Prospective cohort study

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Surgical treatment

Decompression

Intervention Type PROCEDURE

Surgical decompression of the median nerve

2

Conservative treatment

Conservative treatment

Intervention Type PROCEDURE

Conservative treatment typically consisted of splinting and corticosteroid injections

Interventions

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Decompression

Surgical decompression of the median nerve

Intervention Type PROCEDURE

Conservative treatment

Conservative treatment typically consisted of splinting and corticosteroid injections

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* wrists with established CTS

Exclusion Criteria

* prior surgery for CTS
* traumatic lesions
* coexistent neurological disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bern

OTHER

Sponsor Role lead

Responsible Party

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Institute of Social and Preventive Medicine, University of Bern, Switzerland

Principal Investigators

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Peter Jüni, MD

Role: STUDY_DIRECTOR

Institute of Social and Preventive Medicine, University of Bern, Switzerland

Hans-Rudolf Ziswiler, MD

Role: PRINCIPAL_INVESTIGATOR

Dep. of Rheumatology, Immunology and Allergology, Bern University Hospital, Switzerland

Locations

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Dep. of Plastic and Hand Surgery, Bern University Hospital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Ziswiler HR, Reichenbach S, Vogelin E, Bachmann LM, Villiger PM, Juni P. Diagnostic value of sonography in patients with suspected carpal tunnel syndrome: a prospective study. Arthritis Rheum. 2005 Jan;52(1):304-11. doi: 10.1002/art.20723.

Reference Type BACKGROUND
PMID: 15641050 (View on PubMed)

Bachmann LM, Juni P, Reichenbach S, Ziswiler HR, Kessels AG, Vogelin E. Consequences of different diagnostic "gold standards" in test accuracy research: Carpal Tunnel Syndrome as an example. Int J Epidemiol. 2005 Aug;34(4):953-5. doi: 10.1093/ije/dyi105. Epub 2005 May 23.

Reference Type BACKGROUND
PMID: 15911545 (View on PubMed)

Other Identifiers

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UBern_CTS

Identifier Type: -

Identifier Source: secondary_id

CTU_CTS

Identifier Type: -

Identifier Source: org_study_id