Actively Recruiting
Efficacy of Steroid Injection in Patients With Bifid Median Nerve Diagnosed Carpal Tunnel Syndrome
Led by Yunus Burak Bayır · Updated on 2025-05-30
40
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Various median nerve anatomical variations have been reported in the literature.One of these is the bifid median nerve.Due to its relatively higher cross-sectional area, it can facilitate compression of the median nerve in the carpal tunnel.Therefore, bifid median nerve is relatively common in patients with CTS.Some studies have shown that the bifid median nerve has an effect on surgical failure in the treatment of carpal tunnel syndrome.Apart from surgical treatment, perineural injection with corticosteroids is a treatment method that has been used for a long time in the treatment of mild and moderate carpal tunnel syndrome.It is controversial whether bifid median nerve has a negative effect on treatment effectiveness.When looking at the literature, there is no previous study on this subject.With the introduction of ultrasound into our daily practice, the frequency of ultrasound-guided perineural injections has increased.Ultrasound allowed us to see variations in the median nerve before injection.The aim of the study is to compare the effectiveness of steroid injection in patients with CTS with bifid median nerve and patients with CTS with non-variant median nerve.It is also to investigate whether this anatomical variation has a negative effect on the treatment.
CONDITIONS
Official Title
Efficacy of Steroid Injection in Patients With Bifid Median Nerve Diagnosed Carpal Tunnel Syndrome
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age between 18 and 65 years
- Clinical diagnosis of Carpal Tunnel Syndrome
- Mild or moderate Carpal Tunnel Syndrome confirmed by EMG
- Bifid median nerve diagnosed by ultrasound; control group has no variation
- Typical Carpal Tunnel Syndrome symptoms for at least 3 months
You will not qualify if you...
- History of polyneuropathy, brachial plexopathy, thoracic outlet syndrome, or wrist surgery
- History of inflammatory arthritis, hypothyroidism, pregnancy, rheumatological disorders, or heart battery
- Current use of warfarin
- Prior steroid injection for Carpal Tunnel Syndrome
- Trauma or neoplasm at the injection site
- Hypersensitivity to corticosteroids or skin infection at the injection site
- Presence of other median nerve variations or persistent median artery
AI-Screening
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Trial Site Locations
Total: 1 location
1
Etlik City Hospital
Ankara, Ankara, Turkey (Türkiye), 06170
Actively Recruiting
Research Team
Y
YUNUS BURAK BAYIR, SPECİALİST
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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