NCT04856228|Completed
Radial Tunnel Syndrome in Resistant Lateral Epicondylitis
Ultrasonographic and Electrophysiological Evaluation of The Presence of Radial Tunnel Syndrome in Patients With Resistant Lateral Epicondylitis
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Ultrasonographic and Electrophysiological Evaluation of The Presence of Radial Tunnel Syndrome in Patients With Resistant Lateral Epicondylitis
Sponsor study identifier
interventional
32
1 country
1
Study Start
January 10, 2021
Actual (reported)Primary Completion
August 24, 2021
Actual (reported)Study Completion
December 16, 2021
Actual (reported)Lateral elbow pain can be difficult to diagnose because of the different pathologies or combinations of pathologies that can cause this clinic. Although lateral epicondylitis is the most common cause of lateral elbow pain, symptoms of radial tunnel syndrome may masquerade as lateral epicondylitis or they can be seen together with rate of 21-41%. The aim of the study is; to evaluate the presence of radial tunnel syndrome in the patients who have resistant lateral epicondylitis.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 16, 2021
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 10, 2021
Actual (reported)April 16, 2021
Actual (reported)April 23, 2021
Actual (reported)August 24, 2021
Actual (reported)December 16, 2021
Actual (reported)Change from Baseline Pain via Nurmerical Rating Scale at 30 Minutes after PIN/Lateral Epicondyle Injection
Pain of the participants will be assessed by one of the most commonly used pain scale "numerical rating scale". It is numeric version of visual analog scale in which a patient selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The 11-point numeric scale ranges from '0' representing "no pain" to '10' representing "pain as bad as you can imagine". Participant is asked to indicate rates of their pain on the day of presentation during resting, during function and physical examination as a baseline and, 30 minutes after PIN injection for each, 30 minutes after lateral apicondyle injection for each.
Baseline, 30 minutes after PIN injection, 30 minutes after lateral epicondyle injection
Grip strength via dynamometer
Baseline
Patients diagnosed with lateral epicondylitis with physical examinations will be evaluated with electrophysiology After electrophysiological evaluations, patients' effected extremity evaluated with ultrasonography for lateral epicondylitis and radial tunnel syndrome and compared with uneffected side 30 minutes after posterior interosseous nerve block with 1 cc 2% lidocaine with USG guide, full examination will be repeated for evaluation of NRS score changing to exact diagnose of radial tunnel syndrome 30 minutes after lateral epicondyle 1 cc 2% lidocaine injection with USG guide, full examination will be repeated for evaluation of NRS score changing to final diagnose of lateral epicondylitis
ultrasound guided posterior interosseous nerve and lateral epicondyle 1 ml 2% lidocaine injection
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Istanbul University-Cerrahpasa
Istanbul, 34098, Turkey (Türkiye)
Ekstrom RA, Holden K. Examination of and intervention for a patient with chronic lateral elbow pain with signs of nerve entrapment. Phys Ther. 2002 Nov;82(11):1077-86.
Ritts GD, Wood MB, Linscheid RL. Radial tunnel syndrome. A ten-year surgical experience. Clin Orthop Relat Res. 1987 Jun;(219):201-5.
Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, Gay RE, Arendt KW. Sensitivity of the Patient-rated Forearm Evaluation Questionnaire in lateral epicondylitis. J Hand Ther. 2005 Oct-Dec;18(4):400-6. doi: 10.1197/j.jht.2005.07.001.
Zeynep Ulku Akarirmak
Istanbul University - Cerrahpasa
Aslinur Keles Ercisli
Istanbul University - Cerrahpasa
Deniz Palamar Kadioglu
Istanbul University - Cerrahpasa
32 participants (actual enrollment reported by the registry).
First Submitted
April 16, 2021
First Posted
April 23, 2021
Study Start
January 10, 2021
Actual (reported)Comparison of Mulligan Technique and Muscle Energy Technique in Lateral Epicondylitis
Efficacy of Dry Needling in the Treatment of Lateral Epicondylitis
5% and 15% Dextrose Prolotherapy Efficacy in Lateral Epicondylitis
The Patient-Rated Tennis Elbow Evaluation (PRTEE)
Baseline
Disabilities of Arm, Shoulder, and Hand (DASH) Questionnaire
Baseline
The 36-Item Short Form Health Survey Questionnaire (SF-36)
Baseline
Contact the study team to confirm eligibility.
Tran N, Chow K. Ultrasonography of the elbow. Semin Musculoskelet Radiol. 2007 Jun;11(2):105-16. doi: 10.1055/s-2007-1001876.
Gurcay E, Karaahmet OZ, Kara M, Onat SS, Ata AM, Unlu E, Ozcakar L. Ultrasonographic Evaluation of the Radial Nerves in Patients with Unilateral Refractory Lateral Epicondylitis. Pain Med. 2017 Mar 1;18(3):396-402. doi: 10.1093/pm/pnw181.
Keles A, Palamar D, Gunduz A, Akarirmak U. Ultrasonographic and Electrophysiologic Assessment of Radial Tunnel Syndrome in Patients With Treatment-Resistant Lateral Epicondylitis: Insights into Diagnostic Utility and Clinical Implications. Am J Phys Med Rehabil. 2026 Apr 1;105(4):330-337. doi: 10.1097/PHM.0000000000002877. Epub 2025 Oct 9.
Primary Completion
August 24, 2021
Actual (reported)Study Completion
December 16, 2021
Actual (reported)Last Updated
February 18, 2022
Record last verified: 2022-02
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Source: ClinicalTrials.gov.
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