Sonographic Examination of Median Nerve Variations

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorYunus Burak Bayır

About this trial

The aim of the study is to evaluate the prevalence of bifid median nerve in patients diagnosed with carpal tunnel syndrome (CTS) and whether it has a higher prevalence in CTS patients than in asymptomatic individuals, and to evaluate the characteristics of the bifid median nerve found and whether median nerve variations are predisposing factors in the development of CTS.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Having typical Carpal Tunnel Sydnrome symptoms lasting longer than 3 months

Carpal tunnel syndrome diagnosed with EMG

Being a male/female >18 years of age

Disqualifiers

History of polyneuropathy, brachial plexopathy, thoracic outlet syndrome, or surgery in the wrist area

Presence of inflammatory arthritis, hypothyroidism, pregnancy, rheumatological disorders, diabetes mellitus

Presence of peripheral vascular disease

Trial population

129 patients

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • elastography,usg

    Diagnostic test

    Patients' general pain will be assessed with Visual Analog Scale (Global Pain), symptom severity and functional status will be assessed with Boston Carpal Tunnel Questionnaire, hand grip strength will be measured with dynamometer. Patient hand diagram will be marked according to patient's sensory symptoms. Median nerve cross-sectional area measurement at pisiform level with ultrasound, distal motor latency and sensory nerve conduction velocity with emg will be performed and recorded. Median nerve stiffness will be assessed with real-time elastography.

Treatment groups

129 Participants
are divided into 2 treatment groups
Group A: normal median nerve in carpal tunnel syndrome1 intervention
Group B: median nerve variation in carpal tunnel syndrome1 intervention

Trial outcomes

Primary outcomes

1

Visual Analog Scale(VAS)

The VAS used for pain assessment consists of a line drawn in the form of a ruler,and numbers from 0 to 10(with 0 as ''no pain'' and 10 as ''unbearable pain'') were asked to score.

Time frame
This evaluation will be made and recorded at the beginning

Secondary outcomes

1

Boston Carpal Tunnel Questionnaire

symptom severity and functional status scale

Time frame
This evaluation will be made and recorded at the beginning.
2

Dynamometer

Hand grip strength measurement test

Time frame
This evaluation will be made and recorded at the beginning.
3

Ultrasound

Median nerve cross-sectional area measurement at the pisiform level.

Time frame
This evaluation will be made and recorded at the beginning.
4

Real-time elastography.

Median nerve stiffness will be evaluated by real-time strain/sheer elastography.

Time frame
This evaluation will be made and recorded at the beginning.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Yunus Burak Bayır

Lead sponsor

Ankara Etlik City Hospital

Sponsor institution