Evaluation by Clinical and Hand Ultrasound in Carpal Tunnel Syndrome

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Sao Paulo General Hospital

About this trial

Carpal Tunnel Syndrome (CTS) is a common condition where pressure on the median nerve in the wrist causes pain, numbness, and weakness in the hand. Surgery to release the carpal tunnel is often performed to relieve these symptoms.

This study will evaluate the changes in the median nerve after surgery and how these changes relate to symptom improvement. Investigators will use ultrasound imaging to measure the nerve size before and at three and six months after surgery. Patients will also complete questionnaires about their symptoms and hand function, and undergo tests to assess strength and sensation.

The investigator's goal is to determine whether changes observed on ultrasound are associated with the rate of patient recovery. This may help doctors better monitor healing and improve care for people with CTS.

Eligibility criteria

Qualifiers

Clinical diagnosis of primary carpal tunnel syndrome (CTS), confirmed by characteristic symptoms, physical examination findings, and a cross-sectional area superior to 10 mm² in the ultrasonography baseline.

Indication for open carpal tunnel release as part of routine clinical care.

Disqualifiers

Secondary CTS due to inflammatory arthritis, prior wrist trauma, or space-occupying lesions.

History of previous carpal tunnel release in the affected hand.

Concomitant peripheral neuropathies (e.g., diabetic polyneuropathy) or cervical radiculopathy

Inability to undergo ultrasound assessment

Trial design

Treatments tested in this trial

  • Open Carpal Tunnel Release

Treatment groups

106 Participants
are divided into 1 treatment group