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Corticoid injection as a predictive factor of results of carpal tunnel release.

de Miranda GV, Fernandes CH, Raduan J, Meirelles LM, Dos Santos JB, Faloppa F - Acta Ortop Bras (2015 Mar-Apr)

Bottom Line: Sixty out of the 72 patients who did not present relief or relapse symptoms were treated surgically.Surgical results were better regarding VAS, Boston questionnaire and sensitivity in a specific group of patients, which had a longer relief of symptoms after the corticoid injection, with statistical significance.Longer relief of symptoms after corticoid injection correlated with better results of surgical treatment.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil, 1. Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.

ABSTRACT

Objective: To evaluate whether the symptoms relief after local corticoid injection correlate with better results of surgical treatment in carpal tunnel syndrome.

Methods: Between February 2011 and June 2013, 100 wrists of 88 patients were included in the study. All patients were subjected to corticoid injections in the carpal tunnel and evaluated before and after infiltration and surgery. The following parameters were evaluated: visual analog scale (VAS) for pain, Boston questionnaire, sensitivity and strength.

Results: Only 28 out of 100 wrists subjected to injection were symptom-free after six months follow up. Sixty out of the 72 patients who did not present relief or relapse symptoms were treated surgically. Surgical results were better regarding VAS, Boston questionnaire and sensitivity in a specific group of patients, which had a longer relief of symptoms after the corticoid injection, with statistical significance.

Conclusion: Longer relief of symptoms after corticoid injection correlated with better results of surgical treatment.

No MeSH data available.


Related in: MedlinePlus

Local corticosteroids infiltration technique on carpal tunnel
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f01: Local corticosteroids infiltration technique on carpal tunnel

Mentions: Local infiltration was performed with 1 mL of methylprednisolone (40mg) and 1 mL of 2% lidocaine (20 mg), totaling 2 mL total in a single dose.13 The injection technique consist of inserting the needle into the proximal flexion crease of the wrist, ulnar to the palmaris longus tendon and tilted at 30 degrees in the horizontal plane from proximal to distal.14 (Figure 1)


Corticoid injection as a predictive factor of results of carpal tunnel release.

de Miranda GV, Fernandes CH, Raduan J, Meirelles LM, Dos Santos JB, Faloppa F - Acta Ortop Bras (2015 Mar-Apr)

Local corticosteroids infiltration technique on carpal tunnel
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4562971&req=5

f01: Local corticosteroids infiltration technique on carpal tunnel
Mentions: Local infiltration was performed with 1 mL of methylprednisolone (40mg) and 1 mL of 2% lidocaine (20 mg), totaling 2 mL total in a single dose.13 The injection technique consist of inserting the needle into the proximal flexion crease of the wrist, ulnar to the palmaris longus tendon and tilted at 30 degrees in the horizontal plane from proximal to distal.14 (Figure 1)

Bottom Line: Sixty out of the 72 patients who did not present relief or relapse symptoms were treated surgically.Surgical results were better regarding VAS, Boston questionnaire and sensitivity in a specific group of patients, which had a longer relief of symptoms after the corticoid injection, with statistical significance.Longer relief of symptoms after corticoid injection correlated with better results of surgical treatment.

View Article: PubMed Central - PubMed

Affiliation: Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil, 1. Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-UNIFESP), São Paulo, SP, Brazil.

ABSTRACT

Objective: To evaluate whether the symptoms relief after local corticoid injection correlate with better results of surgical treatment in carpal tunnel syndrome.

Methods: Between February 2011 and June 2013, 100 wrists of 88 patients were included in the study. All patients were subjected to corticoid injections in the carpal tunnel and evaluated before and after infiltration and surgery. The following parameters were evaluated: visual analog scale (VAS) for pain, Boston questionnaire, sensitivity and strength.

Results: Only 28 out of 100 wrists subjected to injection were symptom-free after six months follow up. Sixty out of the 72 patients who did not present relief or relapse symptoms were treated surgically. Surgical results were better regarding VAS, Boston questionnaire and sensitivity in a specific group of patients, which had a longer relief of symptoms after the corticoid injection, with statistical significance.

Conclusion: Longer relief of symptoms after corticoid injection correlated with better results of surgical treatment.

No MeSH data available.


Related in: MedlinePlus