Effectiveness of Interventions of Specific Complaints of the Arm, Neck, or Shoulder (CANS)

Abstract

Well-designed and well-conducted RCTs are clearly needed in this field.

How to treat Guyon's canal syndrome? Results from the European HANDGUIDE study: a multidisciplinary treatment guideline

“…It seems that, in most cases, the disorder is caused by the presence of structures within or in the vicinity of Guyon's canal but without a significant inflammatory component. In these cases, the therapeutic effect of corticosteroids seems unlikely, although a temporary positive effect of corticosteroids in the absence of inflammation is reported in the trigger finger 20 29. Nevertheless, because a comparable effect could not be found in Guyon's canal syndrome, it seems reasonable that the experts agreed to exclude corticosteroid injection from the list of treatments for this disorder.…”

Multidisciplinary Consensus Guideline for Managing Trigger Finger: Results From the European HANDGUIDE Study

“…Similar findings were found for the effectiveness of corticosteroid injection for specific upper extremity disorders. [22][23][24] The mechanism behind the reduction of symptoms when using corticosteroid injections remains unclear. To emphasize that the effect of this treatment is not anti-inflammatory, the experts decided to add a note clarifying this fact when describing the aim of this treatment in the guideline.…”

The Effectiveness of Passive Physical Modalities for the Management of Soft Tissue Injuries and Neuropathies of the Wrist and Hand: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

“…Evidence from 1 RCT suggests that a night wrist orthosis is less effective than surgery for the management of CTS in the short term (up to 6 months) but led to similar outcomes in the long term (at 12 and 18 months postintervention) ( Table 2). 38 Gerritsen et al 38 randomized patients to (1) a custom or prefabricated neutral wrist splint to be worn at night (and during the day if desired) for a minimum of 6 weeks or (2) open carpal tunnel release surgery followed by range of motion exercises and advice to use the hand. Patients treated with surgery were more likely to report recovery at 3 months (relative risk [RR], 1.38 [95% CI, 1.08-1.55]) and 6 months (RR, 1.29 [95% CI, 1.08-1.55]) than those receiving night wrist splints.…”