Added Value of Ultrasonography in the Diagnosis, Management, and Follow-Up of Carpal Tunnel Syndrome

Kafrelsheikh University60 enrolled

Overview

This study aims to assess the ultrasound (US) and nerve conduction studies (NCS) as a tool for diagnosis, treatment planning and follow-up of patients with carpal tunnel syndrome (CTS).

Carpal tunnel syndrome (CTS) is one of the most common upper extremity compression neuropathies and is caused by compression of the median nerve in the carpal tunnel at the wrist. The ultrasound (US) is a follow-up option as a diagnostic tool in CTS. It is a readily available non-invasive tool which has a shorter examination time. It can measure a number of median nerve parameters, including size, vascularity (using power Doppler) and mobility (using dynamic imaging). In addition,the US provides information on anatomical variations of the median nerve and surrounding structures that may be a causative factor in CTS.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Ultrasonography Diagnosis Management Follow-Up Carpal Tunnel Syndrome

Interventions

UltrasoundPROCEDURE

All patients underwent high-resolution real-time sonography of the carpal tunnel (both hands) using an Ultrasound (US) machine and a 12 MHz linear array transducer. US examination will be performed before and 3 months after surgery.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥18 years old. * Both sexes. * Patients with carpal tunnel syndrome. Exclusion Criteria: * History of wrist surgery (including carpal tunnel injection) or fracture. * Clinical or electrophysiological evidence of an accompanying condition that mimics carpal tunnel syndrome or interferes with its evaluation, such as proximal median neuropathy, cervical radiculopathy or polyneuropathy. * History of underlying disorders associated with carpal tunnel syndrome such as diabetes mellitus, rheumatoid arthritis, pregnancy, acromegaly or hypothyroidism. * Electrodiagnostic findings suggestive of co-existing neurological disorders. * Subclinical sensory polyneuropathy.

Locations (1)

Kafrelsheikh University

Kafr ash Shaykh, Kafrelsheikh, Egypt

RECRUITING

Outcomes

Primary Outcomes

Sensitivity of ultrasound in diagnosis of carpal tunnel syndrome

Sensitivity of ultrasound in diagnosis of carpal tunnel syndrome will be recorded.

Time frame: Intraoperatively

Central Contacts

Ahmed A Zahra, MD

CONTACT

00201004642184 a86anas@gmail.com

Data from ClinicalTrials.gov

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