Local injection versus surgery in carpal tunnel syndrome: Neurophysiologic outcomes of a randomized clinical trial

Andreu, José Luís; Ly-Pen, Domingo; Millán, Isabel; Blas, Gema de; Sánchez-Olaso, Alberto

doi:10.1016/j.clinph.2013.11.010

Cited by 50 publications

(49 citation statements)

References 16 publications

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“… 1 It can be treated with surgical or nonsurgical methods. 2 When nonsurgical treatment is indicated, local corticosteroid injection into the carpal tunnel can be used to reduce pain and tingling sensation. On the contrary, direct needle injury of the median nerve is frequent and leakage of the corticosteroid injectate from the carpal tunnel causes complications such as fat tissue atrophy and skin color changes.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach

et al. 2014

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The objective of this study is to evaluate the degree of symptom improvement and the change of electrophysiological and ultrasonographic findings after sonographically guided local steroid injection using an in-plane ulnar approach in carpal tunnel syndrome (CTS).Seventy-five cases of 44 patients diagnosed with CTS were included and evaluated at baseline and at 4 and 12 weeks after injection. All patients received injection with 40 mg of triamcinolone mixed with 1 mL of 1% lidocaine into the carpal tunnel using an in-plane Ultrasound (US)-guided ulnar approach, out-plane US-guided approach, and blind injection. For clinical evaluation, we used the Boston Carpal Tunnel Questionnaire (BCTQ) and electrophysiological tests. The ultrasonographic findings were also evaluated with regard to cross-sectional area and the flattening ratio of the median nerve.Subjective symptoms measured by BCTQ and median nerve conduction parameters showed significant improvement at 4 weeks in the in-plane ulnar approach group compared with the out-plane ulnar approach and blind injection. This improvement was still observed at 12 weeks. The flattening ratio and cross-sectional area of the median nerve showed a more significant decrease with the in-plane ulnar approach than with the out-plane ulnar approach and blind injection (P < 0.05).US-guided local steroid injection using an in-plane ulnar approach in the CTS may be more effective than out-plane or blind injection.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach

et al. 2014

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“…Even though CTS is the most frequently observed peripheral nerve entrapment syndrome, there are problems in its diagnosis and treatment [1,2,21]. Although the endoscopic technique has been commonly used, the gold standard in CTS surgery is the open carpal tunnel release.…”

Section: Discussionmentioning

confidence: 99%

“…The European Research Journal 2019;5(4):673-677 arpal tunnel syndrome (CTS) occurs due to the compression of the median nerve in the wrist alignment [1,2]. Its prevalence is 2.7% [2,3].…”

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confidence: 99%

Examination of surgical and conservative treatment effects on depression of patients with moderate carpal tunnel syndrome

Güvenç

Ilık

İlik³

et al. 2019

The European Research Journal

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Objective: The aim of this study is to examine the outcomes of conservative and surgical treatments of patients with carpal tunnel syndrome as well as the effects of these two treatment options on depressive symptoms of these patients. Methods: A case-control study carried out from June 2015 to Fabruary 2016 and 111 moderate moderate carpal tunnel syndrome patients were included in the study whose diagnosis was confirmed by electroneuromyography (ENMG). The 78 of the patients had surgical treatment and 33 of them, who did not accept the surgery, received steroids via injection and splinting technique was performed for 8 weeks. Boston Carpal Tunnel Questionnaire, quick disabilities of the arm, shoulder and hand score and Beck Depression Invertory scales were applied six months before and after treatments. Results: It was detected that pain functional assessment scores and Beck depression scores significantly recovered the disease in patients who had surgical treatment compared to ones who had the conservative treatment. Conclusions: It can be concluded that surgical treatment plays a more active role in the recovery of depressive symptoms in patients with moderate carpal tunnel syndrome.

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“…(n = 123, 217 инъекций) улучшение параметров ЭМГ через 1 год после лечения было зна-чимым только в группе пациентов, подвергшихся хи-рургическому лечению (p = 0,091). У пациентов, полу-чивших инъекции КС (от 1 до 3 в зависимости от субъективных ощущений пациента), положительная динамика касалась только регресса жалоб при неиз-менной ЭМГ-картине [52]. Необходимо отметить, что описанное авторами отсутствие улучшения резуль-татов ЭМГ у получивших КС противоречат данным ряда других исследований [22,42,43].…”

Section: том 8 Volunclassified

Local administration of corticosteroids in treatment of carpal tunnel syndrome

Киселев¹,

Aleksandrov²,

Короткевич³

2018

Neuromuscular Diseases

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Local injection versus surgery in carpal tunnel syndrome: Neurophysiologic outcomes of a randomized clinical trial

Cited by 50 publications

References 16 publications

Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach

Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach

Examination of surgical and conservative treatment effects on depression of patients with moderate carpal tunnel syndrome

Local administration of corticosteroids in treatment of carpal tunnel syndrome

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