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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 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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 |
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| Measure | Description | Time Frame |
|---|---|---|
| Joint stiffness | The active range of motion (elbow, wrist, knee and ankle) is measured with a standard goniometer. | In the 1st month |
| Stiffness of the skin | Skinstiffness is measured with a suction cup | in the 1st month |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activities | Boston Questionairre | In the 1st month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients presenting with complaints of:
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bo Verwer | Contact | b.verwer@antoniusziekenhuis.nl |
| Name | Affiliation | Role |
|---|---|---|
| A.B. Mink van der Molen, dr. | St. Antonius Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Antonius Hospital | Nieuwegein | Utrecht | 3430EM | Netherlands |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |