Carpal Tunnel Syndrome Evaluation With Ultrasound in Rheumatoid Arthritis Patients

Burak Tayyip Dede

Status: Completed

Conditions: Median Nerve Entrapment

Treatments: Diagnostic Test: Ultarsound

Study type: Observational

Funder types: Other

Identifiers

NCT06012630

22/04/2022 2011-KAEK-50;126;

Details and patient eligibility

About

In rheumatoid arthritis (RA) patients, the diagnosis of Carpal tunnel syndrome (CTS) was made based on clinical findings and physical examinations. Then, the cross-sectional areas of the participants' median nerves from different levels were measured. Meidolateral and anteroposterior diameter were measured at the level of the carpal tunnel inlet. Flattening ratio was calculated. wrist to forearm ratio and wrist to forearm difference were calculated. The obtained data were compared between RA with CTS, RA without CTS and healthy control.

Enrollment: 90 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• RA patients identified according to the 2010 American College of Rheumatology/Europan Leage Against Rheumatism classification criteria
• healthy controls (HC) with no history of rheumatic diseases and CTS.
• Individuals aged 18-65 years.

Exclusion criteria

• thoese with hypothyroidism,
• gout,
• diabetes mellitus,
• history of CTS surgery,
• upper extremity plexopathy,
• polinöropathy,
• uncontrollable fibromyalgia,
• steroid injection for CTS
• For the HC group, those with phalen or tinnel detected in at least one wrist and those with bifid median nerve detected during US evaluation were not included in the study.

Trial design

90 participants in 3 patient groups

group 1: RA without CTS

Description:

Rheumatoid arthritis patients without a diagnosis of CTS based on clinical findings and physical examination

Treatment:

Diagnostic Test: Ultarsound

group 2: RA with CTS

Description:

Rheumatoid arthritis patients with a diagnosis of CTS based on clinical findings and physical examination

Treatment:

Diagnostic Test: Ultarsound

group:3 Healthy Control

Description:

Healthy Control without rheumatologic disease and Carpal tunnel syndrome

Treatment:

Diagnostic Test: Ultarsound