RecruitingNot ApplicableNCT06243848

Comparison of Ultrasound-Guided Injection With Median Nerve Decompression Surgery in Carpal Tunnel Syndrome

Comparison of Ultrasound-Guided Injection With Traditional Median Nerve Decompression Surgery in Patients With Carpal Tunnel Syndrome: Randomized Controlled Study

Sponsor

Afyonkarahisar Health Sciences University

Enrollment

60 participants

Start Date

Jan 25, 2024

Study Type

INTERVENTIONAL

Conditions

Musculoskeletal Diseases Median Nerve Disease

Summary

The aim of this study is to compare ultrasound-guided perineural injection of the median nerve with classic minimal incision surgical technique for median nerve decompression in patients diagnosed with mild, moderate, and severe carpal tunnel syndrome.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria4

The presence of symptoms such as nocturnal, posture-related, or movement-related paresthesias, along with possible pain, in the area supplied by the median nerve in the hand, lasting for more than 3 months.
Confirmation of mild, moderate or severe CTS through electrophysiological testing.
Numbness and loss of sensation in the hand's regions innervated by the median nerve, as well as weakness in the thenar muscles innervated by the median nerve.
Positive results on either the Phalen test and/or Tinel sign.

Exclusion Criteria9

Individuals who may exhibit symptoms mimicking carpal tunnel syndrome, such as cervical radiculopathy, polyneuropathy, brachial plexopathy, or thoracic outlet syndrome.
Patients who have received a previous injection into the carpal tunnel within the past 6 months.
Thenar muscle atrophy.
A history of prior carpal tunnel surgery.
Regular usage of systemic nonsteroidal anti-inflammatory drugs and corticosteroids.
Pregnancy
Patients diagnosed with rheumatoid arthritis, systemic lupus erythematosus, gout, systemic sclerosis, dermatomyositis, or polymyositis.
Malignancy.
Active infections

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Interventions

PROCEDUREMinimal Incision Surgery for median nerve decompression

Classic minimal incision surgical technique for median nerve decompression in patients diagnosed with mild, moderate, and severe carpal tunnel syndrome.

PROCEDUREUltrasound-guided perineural injection with 5 cc 5% Dextrose

The median nerve will be identified using ultrasound at the proximal entrance of the carpal tunnel. Using an ulnar approach with the in-plane technique, it was planned to inject 5 cc of 5% dextrose around the median nerve.