PMID- 34046894
OWN - NLM
STAT- MEDLINE
DCOM- 20210819
LR  - 20210819
IS  - 1097-0096 (Electronic)
IS  - 0091-2751 (Linking)
VI  - 49
IP  - 7
DP  - 2021 Sep
TI  - Minimally invasive ultrasound-guided vs open release for carpal tunnel syndrome 
      in working population: A randomized controlled trial.
PG  - 693-703
LID - 10.1002/jcu.23019 [doi]
AB  - PURPOSE: To compare the clinical effectiveness of minimally invasive ultrasound 
      (US)-guided vs open release for carpal tunnel syndrome. METHODS: In an open 
      randomized controlled trial, 47 employed patients were allocated to US-guided 
      carpal tunnel release (USCTR) and 42 to an open carpal tunnel release (OCTR) 
      procedure. The main outcome was symptom severity measured by the Boston Carpal 
      Tunnel Syndrome Questionnaire (BCTQ-S). Secondary outcomes were hand 
      functionality (BCTQ-F), nerve conduction, two-point discrimination, handgrip and 
      pinch strength, pain (visual analog scale), work leave and complications. For 
      BCTQ-S and BCTQ-F, minimal clinically important differences (MCID) were also 
      considered. Follow-up duration was 12 months. RESULTS: Mixed model analyses 
      detected no significant differences between the two treatment arms in BCTQ-S 
      (P = .098) while BCTQ-F scores were significantly better in the USCTR group 
      (P = .007). This benefit was, however, not supported by the MCID data. Remaining 
      variables were similar in the two groups except pain which was lower in USCTR at 
      3 months follow-up. All variables but two-point discrimination showed significant 
      improvement after 3 months. CONCLUSIONS: Our findings reveal similar symptom 
      relief benefits following OCTR or USCTR in these patients. The patients in our 
      USCTR group, however, reported better hand functional status and less pain.
CI  - (c) 2021 Wiley Periodicals LLC.
FAU - de la Fuente, Javier
AU  - de la Fuente J
AD  - Department of Orthopedic Surgery, Clinica Pakea-Mutualia, San Sebastian, Spain.
FAU - Aramendi, Jose F
AU  - Aramendi JF
AUID- ORCID: 0000-0003-3466-6516
AD  - Primary Care Department, Clinica Pakea-Mutualia, San Sebastian, Spain.
FAU - Ibanez, Jose M
AU  - Ibanez JM
AD  - Department of Physical Medicine and Rehabilitation, Clinica Pakea-Mutualia, San 
      Sebastian, Spain.
FAU - Blasi, Marc
AU  - Blasi M
AD  - Plastic Surgery Department, Hospital Universitari Germans Trias i Pujol, 
      Badalona, Spain.
FAU - Vazquez, Alberto
AU  - Vazquez A
AD  - Department of Occupational Medicine, Clinica Pakea-Mutualia, San Sebastian, 
      Spain.
FAU - Aurrekoetxea, Juan J
AU  - Aurrekoetxea JJ
AD  - Public Health Department, Basque Government, Vitoria-Gasteiz, Spain.
FAU - Davila, Fernando
AU  - Davila F
AD  - Department of Orthopedic Surgery, Clinica Pakea-Mutualia, San Sebastian, Spain.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20210527
PL  - United States
TA  - J Clin Ultrasound
JT  - Journal of clinical ultrasound : JCU
JID - 0401663
SB  - IM
MH  - *Carpal Tunnel Syndrome/diagnostic imaging/surgery
MH  - Hand Strength
MH  - Humans
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Ultrasonography
MH  - Ultrasonography, Interventional
OTO - NOTNLM
OT  - carpal tunnel syndrome
OT  - hand
OT  - minimally invasive surgical procedures
OT  - musculoskeletal ultrasonography
OT  - nerves
EDAT- 2021/05/29 06:00
MHDA- 2021/08/20 06:00
CRDT- 2021/05/28 07:41
PHST- 2021/04/20 00:00 [revised]
PHST- 2020/05/29 00:00 [received]
PHST- 2021/05/03 00:00 [accepted]
PHST- 2021/05/29 06:00 [pubmed]
PHST- 2021/08/20 06:00 [medline]
PHST- 2021/05/28 07:41 [entrez]
AID - 10.1002/jcu.23019 [doi]
PST - ppublish
SO  - J Clin Ultrasound. 2021 Sep;49(7):693-703. doi: 10.1002/jcu.23019. Epub 2021 May 
      27.