Flexor Tenosynovectomy to Treat Recurrent Carpal Tunnel Syndrome

University of Tennessee

Status: Terminated

Conditions: Carpal Tunnel Syndrome

Treatments: Other: Data collection

Study type: Observational

Funder types: Other

Identifiers

NCT03757416

15-110

Details and patient eligibility

About

The purpose of this study is to collect data on the clinical and functional outcomes of surgical management for recurrent carpal tunnel syndrome (CTS) using flexor tenosynovectomy. It is hypothesized that the outcomes of patients undergoing flexor tenosynovectomy for recurrent CTS will compare favorably to published data regarding alternative types of surgeries for the same condition.

Full description

Primary carpal tunnel release (CTR) is the most common surgical procedure of the hand, but reported rates of symptom recurrence are not uncommon. Many surgical techniques have been proposed and reported for management of carpal tunnel syndrome (CTS) symptom recurrence, however there is a paucity of data on flexor tenosynovectomy for management of recurrent CTS.

This study will evaluate clinical and functional outcomes using information from pre- and post-operative physical exams, surgery data, patient-reported satisfaction and symptoms, and scores on functional measures, such as the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.

Enrollment: 2 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients (> 18 years)
• Patient of The Plastic Surgery Group/Hayes Hand Center
• Previous diagnosis of Carpal Tunnel Syndrome
• Diagnosis of Recurrent Carpal Tunnel Syndrome
• Underwent primary carpal tunnel release
• Undergoing isolated flexor tenosynovectomy as secondary procedure

Exclusion criteria

• Had incomplete primary release of transverse carpal ligament
• Had documented neuroma upon re-exploration
• Had other soft tissue tumor within carpal tunnel or providing reasonable contribution to neurologic symptoms
• Experienced fracture or other traumatic injury to wrist after primary carpal tunnel release
• Diagnosis of osteomyelitis, infectious tenosynovitis or other infectious etiology to area of interest after primary procedure
• Diagnosis of rheumatoid arthritis, psoriatic arthritis, or other inflammatory arthropathy

Trial design

2 participants in 1 patient group

Flexor tenosynovectomy surgery

Description:

Adult patients who will be undergoing flexor tenosynovectomy for the treatment of recurrent carpal tunnel syndrome and who have already undergone primary carpal tunnel release surgery.

Treatment:

Other: Data collection