Wide Awake Open Carpal Tunnel Release With or Without a Tourniquet

• Status: Not yet recruiting
• Trial end date: 2025-12-31
• Target enrollment: 0
• Participant gender: All

Summary

The goal of this clinical trial is to compare open carpal tunnel release using local anesthesia with or without a tourniquet. The main questions it aims to answer are:

1. Do the tourniquet cause more procedural pain?

2. Does the use of tourniquet affect the outcome after the procedure? Participants will be randomized to either local anesthesia with a tourniquet or local anesthesia with adrenaline, and undrgo standard open carpal tunnel release.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Region Skane
• Treatments: Mepivacaine

Criteria

Inclusion Criteria:

• Primary idiopathic CTS

• Age 18 or older

• Symptoms of classic or probable carpal tunnel syndrome according to Katz hand diagram

• No previous wide awake hand surgical procedures under local anesthesia

• No planned concomitant procedures

Exclusion Criteria:

• Recurrent carpal tunnel syndrome

• Vibration induced neuropathy

• Polyneuropathy

• Cognitive impairment

• Anxiety disorder

• Swedish language insufficiency

• Active substance abuse

• Allergy to local anesthesia or adrenaline

• Patient refusal to participate