Observational Study - Heel Syndrome and Relationship to Flexor Retinacular Ligament Thickness

N/AActive Not RecruitingNCT07375134

GCS Ramsay Santé pour l'Enseignement et la Recherche144 enrolled

Overview

Numerous studies have examined the relationship between carpal tunnel syndrome and the thickness of the flexor retinacular ligament. This varies along the course of the median nerve (the distal portion being the thickest) and increases with age. These studies have shown that the thickness of the ligament is greater in patients with carpal tunnel syndrome, without, however, demonstrating that it is related to the onset of this syndrome. According to Bartolomé-Villar, it may rather influence the onset of carpal pain. The objective of this study is to determine whether a relationship exists between the thickness of the flexor retinacular ligament and the development of heel syndrome in the postoperative period for carpal tunnel syndrome.

This is a prospective, longitudinal, single-center, open-label observational study conducted on a population of patients operated on for carpal tunnel syndrome. This study does not alter patient care or the doctor-patient relationship. Evaluations take place during routinely scheduled consultations. The frequency of evaluations is consistent with standard postoperative follow-up.

Study Type

OBSERVATIONAL

Enrollment

144

Conditions

Carpal Tunnel Syndrome (CTS)Heel Pain Syndrome

Eligibility

Sex: ALLMin age: 18 Months

Medical Language ↔ Plain English

Inclusion Criteria : * Male or female patient over 18 years of age * Patient who has been informed of the research and has not indicated their opposition to the use of their medical data * Patient who is a candidate for first-time carpal tunnel surgery Exclusion Criteria : * Emergency surgery performed in a post-traumatic context * Mental impairment or any other reason that may hinder understanding or strict application of the protocol * Patient not affiliated with the French social security system * Patient under legal protection, guardianship, or curatorship * Patient already included in another therapeutic study protocol

Outcomes

Primary Outcomes

Compare the intraoperative measurement of flexor retinacular ligament thickness between the two groups of patients operated on for carpal tunnel syndrome by the same surgeon using the Chow technique (with and without hand heel syndrome).

Intraoperative measurement of flexor retinacular ligament thickness

Time frame: perioperatively

Secondary Outcomes

Assess the existence of other factors that may be related to the occurrence of hand heel syndrome (Spontaneous pain) according to the initial characteristics and follow-up data of patients with and without hand heel syndrome.

Spontaneous pain in the heel of the hand assessed by the patient on a simple numeric rating scale (SNS) from 0 to 10 (0 = no pain, 10 = maximum pain).

Time frame: Baseline to six months after the surgery

Assess the existence of other factors that may be linked to the occurrence of heel hand syndrome (Pain on palpation of the heel of the hand) based on initial characteristics and follow-up data, patients with and without hand heel syndrome

Pain on palpation of the heel of the hand assessed by the patient on a simple numeric rating scale (SNS) from 0 to 10 (0 = no pain, 10 = maximum pain).

Time frame: Baseline to six months after the surgery

Assess the existence of other factors that may be linked to the occurrence of heel hand syndrome (Postoperative complications) based on follow-up data, patients with and without hand heel syndrome

Postoperative complications (inflammatory scar or keloid, complex regional pain syndrome, infection or hematoma).

Time frame: Immediately after the intervention to six months postoperatory