Ultrasound Evaluation in Carpal Tunnel Syndrome

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorSB Istanbul Education and Research Hospital

About this trial

This prospective cohort study aims to evaluate median nerve cross-sectional area and intraneural vascularity using power Doppler ultrasonography in patients with carpal tunnel syndrome. Ultrasonographic findings will be compared between diabetic and non-diabetic patients. Clinical severity and electrophysiological findings will be correlated with ultrasonographic parameters.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

clinically and electrophysiologically confirmed carpal tunnel syndrome

symptom duration > 3 months

written informed consent

Disqualifiers

previous wrist surgery

cervical radiculopathy

inflammatory arthritis

pregnancy

Trial population

Carpal Tunnel Syndrome Patients

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Doppler ultrasound

    Diagnostic test

    The predictive power of cross-sectional area and intraneural blood flow measured by ultrasound on surgical outcomes will be tested.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Intraneural Vascularity

Intraneural blood flow will be evaluated using power Doppler ultrasonography at the level of the carpal tunnel inlet. The presence and degree of intraneural vascularity will be graded using a semi-quantitative scoring system: 0 = No detectable intraneural flow 1. = Single vessel signal 2. = Multiple vessel signals 3. = Marked hypervascularity The total score ranges from 0 to 3. Higher scores indicate increased intraneural vascularity.

Time frame
Baseline
2

Cross sectional Area

The cross-sectional area of the median nerve will be measured using ultrasonography at the level of the pisiform bone (carpal tunnel inlet) and proximal to transvers carpal ligament. Measurements will be obtained by tracing the inner border of the hyperechoic epineurium. Values will be recorded in square millimeters (mm²). Higher values indicate greater nerve swelling.

Time frame
baseline

Secondary outcomes

1

Boston Carpal Tunnel Questionnaire

Change in Symptom Severity Score of the Boston Carpal Tunnel Questionnaire The Boston Carpal Tunnel Questionnaire is a patient-reported outcome measure consisting of 11 questions assessing symptom severity. Each item is scored from 1 (no symptoms) to 5 (most severe symptoms). The total score ranges from 11 to 55. Higher scores indicate worse symptom severity.

Time frame
Baseline, 3th and 6th months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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