Scalpel vs sound waves: two carpal tunnel surgeries go head to head
NCT ID NCT07814547
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Carpal tunnel syndrome happens when a nerve in the wrist gets squeezed, causing pain, numbness, and weakness in the hand. Open surgery has long been the standard fix, but a newer minimally invasive method uses ultrasound to guide the release through a much smaller opening. This study follows 200 adults who need surgery, comparing how much their symptoms and hand function improve over a year. Researchers track pain, grip, and quality of life to see whether the ultrasound-guided approach holds up against traditional open surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two surgical approaches for carpal tunnel syndrome: traditional open release and minimally invasive ultrasound-guided release
- What this could lead to
- If the ultrasound-guided approach works as well as open surgery, it could offer people with carpal tunnel syndrome less postoperative pain and a faster return to normal hand use.
- What could go wrong
- This is an observational study, not a randomized trial, so differences between the two groups may reflect patient or center characteristics rather than the procedures themselves. The minimally invasive technique also requires specific ultrasound skills, and results may not apply everywhere.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants will be recruited during routine clinical consultations at the outpatient clinics of the participating centers. Patients fulfilling the inclusion criteria will be informed about the study by their treating physicians. Participation is voluntary and does not affect the quality of medical care.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Electrophysiologically verified Carpal Tunnel Syndrome by EMG/nerve conduction studies, with the examination not older than 6 months at the time of inclusion. * Previous documented and exhausted conservative treatment * Existing indication for surgery that has been discussed with the patient and the patient's explicit wish to undergo surgical treatment. * Ability to provide informed consent and written informed consent * Age ≥18 years. Exclusion Criteria: * Previous surgery at the affected location or revision procedures. * Pre-existing nerve lesions of the upper extremity, including traumatic transections or proximal injuries. * Manifest polyneuropathy. * Foreseeable loss to follow-up, for example inability to contact the participant or insufficient compliance, before the critical 3-month follow-up. * Age under 18 years.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AUVA General Trauma Hospital Salzburg
RECRUITINGSalzburg, 5010, Austria
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University Institute of Radiology, Paracelsus Medical Private University Salzburg
RECRUITINGSalzburg, 5020, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Three shots, one wrist: which injection best eases carpal tunnel?
- Can carpal tunnel surgery restore more than hand function?
- Does nerve healing keep pace with hand recovery after carpal tunnel surgery?
- Retraining the brain to ease carpal tunnel pain: a new approach put to the test
- Can a Two-Session acupuncture treatment match ten sessions for carpal tunnel?
- Light therapy may soothe wrist pain without surgery