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Carpal Tunnel Syndrome Evaluation With Ultrasound in Rheumatoid Arthritis Patients

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ClinicalTrials.gov Identifier: NCT06012630
Recruitment Status : Completed
First Posted : August 25, 2023
Last Update Posted : August 25, 2023
Sponsor:
Information provided by (Responsible Party):
Burak Tayyip Dede, Istanbul Training and Research Hospital

Brief Summary:
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.

Condition or disease Intervention/treatment
Median Nerve Entrapment Diagnostic Test: Ultarsound

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Study Type : Observational [Patient Registry]
Actual Enrollment : 90 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Target Follow-Up Duration: 8 Months
Official Title: Ultrasound Evaluation of the Median Nerve in Patients With Rheumatoid Arthritis and Its Relationship With Disease Activity
Actual Study Start Date : January 15, 2023
Actual Primary Completion Date : July 1, 2023
Actual Study Completion Date : August 15, 2023


Group/Cohort Intervention/treatment
group 1: RA without CTS
Rheumatoid arthritis patients without a diagnosis of CTS based on clinical findings and physical examination
Diagnostic Test: Ultarsound
Median nerve evaluation of participants with ultrasound

group 2: RA with CTS
Rheumatoid arthritis patients with a diagnosis of CTS based on clinical findings and physical examination
Diagnostic Test: Ultarsound
Median nerve evaluation of participants with ultrasound

group:3 Healthy Control
Healthy Control without rheumatologic disease and Carpal tunnel syndrome
Diagnostic Test: Ultarsound
Median nerve evaluation of participants with ultrasound




Primary Outcome Measures :
  1. Comparison of US findings among participants [ Time Frame: 6 months ]
    Comparison of US findings among participants


Secondary Outcome Measures :
  1. Relationship between US findings and disease activity in the patient group [ Time Frame: 6 months ]
    The correlation between the US findings of the participants in the patient group and the CDA, which evaluates disease activity, was examined.



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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
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.
Criteria

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06012630


Locations
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Turkey
Istanbul Training and Resarch Hospital
Istanbul, Turkey
Sponsors and Collaborators
Burak Tayyip Dede
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Responsible Party: Burak Tayyip Dede, Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital
ClinicalTrials.gov Identifier: NCT06012630    
Other Study ID Numbers: 22/04/2022; 2011-KAEK-50;126
First Posted: August 25, 2023    Key Record Dates
Last Update Posted: August 25, 2023
Last Verified: August 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Burak Tayyip Dede, Istanbul Training and Research Hospital:
Rheumatoid arthritis
Ultrasound
Carpal Tunnel Syndrome
Additional relevant MeSH terms:
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Arthritis
Arthritis, Rheumatoid
Carpal Tunnel Syndrome
Nerve Compression Syndromes
Median Neuropathy
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases
Mononeuropathies
Peripheral Nervous System Diseases
Neuromuscular Diseases
Nervous System Diseases
Cumulative Trauma Disorders
Sprains and Strains
Wounds and Injuries