Stiffness of the Skin and Joints in Relation to Carpal Tunnel Syndrome

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The exact etiology of CTS remains yet unknown. A rise in carpal tunnel pressure is well documented, but why this phenomenon occurs is yet unknown in most patients. There is an absolute or relative narrowing of the carpal tunnel, which results in a compression of the median nerve. The investigators postulate, that a stiffer flexor retinaculum (roof of carpal tunnel) will be less compliant. As a...

Brief Summary

Official Title: “Correlation of Joint Stiffness and Stiffness of the Skin and the Prevelation of Carpal Tunnel Syndrome (CTS)”

The exact etiology of CTS remains yet unknown. A rise in carpal tunnel pressure is well documented, but why this phenomenon occurs is yet unknown in most patients. There is an absolute or relative narrowing of the carpal tunnel, which results in a compression of the median nerve.

The investigators postulate, that a stiffer flexor retinaculum (roof of carpal tunnel) will be less compliant. As a consequence of this stiffer retinaculum the pressure in the carpal tunnel will rise more quickly in stiff patients resulting in CTS-complaints.

A relation between connective tissue composition and joint stiffness is proven. This relationship possibly extends to a relation between stiffness of the skin, joint stiffness and the prevalence of CTS.

  • Study Type: Observational
  • Study Design: Observational Model: Case Control, Time Perspective: Cross-Sectional
  • Study Primary Completion Date: November 2010

Arms, Groups and Cohorts in this Clinical Trial

  • : Carpal tunnel syndrome
    • Patients with carpal tunnel syndrome
  • : Trigger finger
    • Patients with trigger fingers
  • : Dupuytren Contracture
    • Patients with Dupuytren
  • : Trauma to the hand
    • Patients with an acute trauma to the hand

Outcome Measures for this Clinical Trial

Primary Measures

  • Joint stiffness
    • Time Frame: In the 1st month
      Safety Issue?: No
  • Stiffness of the skin
    • Time Frame: in the 1st month
      Safety Issue?: No

Secondary Measures

  • Physical activities
    • Time Frame: In the 1st month
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Caucasian
  • Carpal tunnel release OR Trigger finger OR Dupuytren OR an acute trauma to the hand

Exclusion Criteria:

  • Hypo-/hyperthyroidism
  • Diabetes
  • Arthritis
  • Pregnancy
  • Obesity (BMI >30)
  • Anatomical anomalies

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 60 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: Accepts Healthy Volunteers

Clinical Trial Investigator Information

Lead Investigator: St. Antonius Hospital Other

Overall Clinical Trial Officials and Contacts

A.B. Mink van der Molen, dr. Principal Investigator St. Antonius Hospital  

Overall Contact: Bo Verwer  b.verwer@antoniusziekenhuis.nl

Additional Information

Information obtained from ClinicalTrials.gov on February 12, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT01081860

Study ID Number: STIF CTS

ClinicalTrials.gov Identifier: NCT01081860

Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

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http://clinicaltrialsfeeds.org/clinical-trials/show/NCT01081860