Hyaluronic Acid Hydro-dissection Use in Idiopathic Carpal Tunnel Syndrome Guided by Ultrasonic Study
Status:
Completed
Trial end date:
2019-03-15
Target enrollment:
Participant gender:
Summary
carpal tunnel syndrome (CTS) is the most common compression syndrome in the upper
extremities, CTS is characterized by typical anatomic changes, the most probable swelling of
the median nerve in the proximal part of the CT.
Local infiltration of corticosteroids easily leads to atrophy of the median nerve,
subcutaneous fat, and systematic complications, surgical treatment decision is always taken
by the patient who sometimes wants to delay or avoid the surgery because of psychological or
medical concerns, It would be interesting if low molecular weight sodium hyaluorinate
injection is used as an alternative conservative treatment of CTS. This study aims to
investigate if, and to what extent, hydro-dissection using 1% lidocain followed by injection
of Sodium hyaluronate versus 1% lidocain followed by injection of 40 mg of triamcinolone
acetonide, under ultrasound guidance.