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Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome

Received: 26 May 2015     Accepted: 7 June 2015     Published: 16 June 2015
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Abstract

Objective: The aim of this work was to evaluate the role of ultrasound-guided steroids injection for carpal tunnel syndrome (CTS). Study design: This is a prospective study done on thirty patients with carpal tunnel syndrome with mild to moderate severity. Patients were divided into two groups; group I of fifteen patients `wrists injected by steroids using ultrasound guidance and group II of another fifteen patients injected blindly- as control- with the same material .Results: There was significant improvement in symptoms and ultrasound findings, after steroid injection, in both groups, being more in group I than group II, with shorter average time to symptom relief, in group I than group II. Moreover, the complications were significantly lower in group I than group II. Conclusions: Ultrasound guided steroids injection is more effective in reducing the symptoms and improving function of CTS with lower risk of nerve injury than blind local steroid injection.

Published in International Journal of Medical Imaging (Volume 3, Issue 4)
DOI 10.11648/j.ijmi.20150304.12
Page(s) 75-81
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Ultrasound, Steroids Injection, Carpal Tunnel Syndrome

References
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[2] Demircay E, Civelek E, Cansever T, et al. (2011): Anatomic variations of the median nerve in the carpal tunnel: a brief review of the literature. Turk Neurosurg; 21: 388–396
[3] Bland JD. (2001): Do nerve conduction studies predict the outcome of carpal tunnel compression? Muscle Nerve; 24: 935-40.
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[6] Luckhaupt SE, Dahlhamer JM, Ward BW, et al. (2013): Prevalence and work-relatedness of carpal tunnel syndrome in the working population, United States, 2010 national health interview survey. Am J Ind Med 56 : 615–624.
[7] Piazzini DB, Aprile I, Ferrara PE, et al. (2007): A systematic review of conservative treatment of carpal tunnel syndrome. Clin Rehabil 21: 299–314.
[8] Karadas O, Tok F, Akarsu S, et al. (2012): Triamcinolone acetonidevs procaine hydrochloride injection in the management of carpal tunnel syndrome: Randomized placebo-controlled study. J Rehabil Med; 44:601-604
[9] Karadas O, Oma K, Tok F, et al (2012): Effects of steroid with repetitive procaine HCl injection in the management of carpal tunnel syndrome: An ultrasonographic study. J NeurolSci; 316:76-78
[10] Karadas O, Tok F, Ulas UH, et al. (2011): The effectiveness of triamcinolone acetonide vs. procaine hydrochloride injection in the management of carpal tunnel syndrome: A double-blind randomized clinical trial. Am J Phys Med Rehabil; 90:287-292
[11] Kara M, zoakar L, De Muynck M, et al (2012): Musculoskeletal ultrasound for peripheral nerve lesions. Eur J PhysRehabil Med; 48:665-674
[12] Ulasli AM, Duymus M, Nacir B, et al. (2013): Reasons for using swelling ratio in sonographic diagnosis of carpal tunnel syndrome and a reliable method for its calculation. Muscle Nerve; 47:396-402.
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[15] Aganval V, Singh R, Sachdev A, et al. (2005): A prospective study of the long-term efficacy of local methyl prednisolone acetate injection hi the management of mild carpal tunnel syndrome. Rheumatology; 44:647-650.
[16] Aygul R, Ulvi H, Karatay S, et al. (2005): Determination of sensitive electrophysiologic parameters at follow-up of different steroid treatments of carpal tunnel syndrome. J Clin Neurophysiol.; 22 :222-230.
[17] 152. Lee JH, An JH, Lee SH, et al. (2009): Effectiveness of Steroid Injection in Treating Patients With Moderate and Severe Degree of Carpal Tunnel Syndrome Measured by Clinical and Electrodiagnostic Assessment. Clin J Pain; 25:111-115.
[18] 156. Karatay S, Aygul R, Alkan M, et al. (2009): The comparison of phonophoresis, iontophoresis and local steroid injection in carpal tunnel syndrome treatment. Joint Bone Spine; 55:156-157.
[19] 135. Ustun N, Tok F, Yagız AE et al (2013): Ultrasound-guided vs. blind steroid injections in carpal tunnel syndrome: a single-blind randomized prospective study. Am J Phys Med Rehabil; 92:999-1004.
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Cite This Article
  • APA Style

    Naglaa Dabees, Hanan El-Saadany, Aly El-Barbary, Al-Shimaa Ammar. (2015). Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome. International Journal of Medical Imaging, 3(4), 75-81. https://doi.org/10.11648/j.ijmi.20150304.12

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    ACS Style

    Naglaa Dabees; Hanan El-Saadany; Aly El-Barbary; Al-Shimaa Ammar. Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome. Int. J. Med. Imaging 2015, 3(4), 75-81. doi: 10.11648/j.ijmi.20150304.12

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    AMA Style

    Naglaa Dabees, Hanan El-Saadany, Aly El-Barbary, Al-Shimaa Ammar. Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome. Int J Med Imaging. 2015;3(4):75-81. doi: 10.11648/j.ijmi.20150304.12

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  • @article{10.11648/j.ijmi.20150304.12,
      author = {Naglaa Dabees and Hanan El-Saadany and Aly El-Barbary and Al-Shimaa Ammar},
      title = {Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome},
      journal = {International Journal of Medical Imaging},
      volume = {3},
      number = {4},
      pages = {75-81},
      doi = {10.11648/j.ijmi.20150304.12},
      url = {https://doi.org/10.11648/j.ijmi.20150304.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150304.12},
      abstract = {Objective: The aim of this work was to evaluate the role of ultrasound-guided steroids injection for carpal tunnel syndrome (CTS). Study design: This is a prospective study done on thirty patients with carpal tunnel syndrome with mild to moderate severity. Patients were divided into two groups; group I of fifteen patients `wrists injected by steroids using ultrasound guidance and group II of another fifteen patients injected blindly- as control- with the same material .Results: There was significant improvement in symptoms and ultrasound findings, after steroid injection, in both groups, being more in group I than group II, with shorter average time to symptom relief, in group I than group II. Moreover, the complications were significantly lower in group I than group II. Conclusions: Ultrasound guided steroids injection is more effective in reducing the symptoms and improving function of CTS with lower risk of nerve injury than blind local steroid injection.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome
    AU  - Naglaa Dabees
    AU  - Hanan El-Saadany
    AU  - Aly El-Barbary
    AU  - Al-Shimaa Ammar
    Y1  - 2015/06/16
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijmi.20150304.12
    DO  - 10.11648/j.ijmi.20150304.12
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 75
    EP  - 81
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20150304.12
    AB  - Objective: The aim of this work was to evaluate the role of ultrasound-guided steroids injection for carpal tunnel syndrome (CTS). Study design: This is a prospective study done on thirty patients with carpal tunnel syndrome with mild to moderate severity. Patients were divided into two groups; group I of fifteen patients `wrists injected by steroids using ultrasound guidance and group II of another fifteen patients injected blindly- as control- with the same material .Results: There was significant improvement in symptoms and ultrasound findings, after steroid injection, in both groups, being more in group I than group II, with shorter average time to symptom relief, in group I than group II. Moreover, the complications were significantly lower in group I than group II. Conclusions: Ultrasound guided steroids injection is more effective in reducing the symptoms and improving function of CTS with lower risk of nerve injury than blind local steroid injection.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Physical Medicine Departments, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt

  • Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt

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