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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

Evolution of the score on Boston-Levine questionnaire: group x period.
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f05: Evolution of the score on Boston-Levine questionnaire: group x period.

Mentions: Regarding the results of the Boston questionnaire, Figure 5 compares periods with their confidence intervals. Group 1 is represented by the full line with a circular marker, group 2 by the dotted line with triangular marker and group 3 by the dashed line quadrangular marker. There is a statistically significant difference between groups (p = 0.0016) and periods (p <0.0001), with better results once again for group 3.


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)

Evolution of the score on Boston-Levine questionnaire: group x period.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f05: Evolution of the score on Boston-Levine questionnaire: group x period.
Mentions: Regarding the results of the Boston questionnaire, Figure 5 compares periods with their confidence intervals. Group 1 is represented by the full line with a circular marker, group 2 by the dotted line with triangular marker and group 3 by the dashed line quadrangular marker. There is a statistically significant difference between groups (p = 0.0016) and periods (p <0.0001), with better results once again for group 3.

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