Volume 3, Issue 4, July 2015, Page: 75-81
Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome
Naglaa Dabees, Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt
Hanan El-Saadany, Physical Medicine Departments, Faculty of Medicine, Tanta University, Tanta, Egypt
Aly El-Barbary, Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt
Al-Shimaa Ammar, Radiodiagnosis Departments, Faculty of Medicine, Tanta University, Tanta, Egypt
Received: May 26, 2015;       Accepted: Jun. 7, 2015;       Published: Jun. 16, 2015
DOI: 10.11648/j.ijmi.20150304.12      View  5010      Downloads  101
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.
Keywords
Ultrasound, Steroids Injection, Carpal Tunnel Syndrome
To cite this article
Naglaa Dabees, Hanan El-Saadany, Aly El-Barbary, Al-Shimaa Ammar, Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome, International Journal of Medical Imaging. Vol. 3, No. 4, 2015, pp. 75-81. doi: 10.11648/j.ijmi.20150304.12
Reference
[1]
Klauser AS, Halpern E J, Faschingbauer R, et al. (2011): Blind median nerve in carpal tunnel syndrome: assessment with US cross-sectional area measurement. Radiology; 259:808–815.
[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.
[4]
Kim J, Kim J, Son J, et al. (2004): Prevalence of carpal tunnel syndrome in meat and fish processing plants. J Occup Health; 46: 230-4.
[5]
Claes F, Verhagen W and Meulstee J. (2007): Current practice in the use of nerve conduction studies in carpal tunnel syndrome by surgeons in the Netherlands. J Hand SurgEur; 32E:663-667.
[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.
[13]
De Muynck M, Parlevliet T, De Cock K, et al. (2012): Musculoskeletal ultrasound for interventional physiatry. Eur J Phys Rehabil Med;48:675-687.
[14]
Tagliafico A, Bodner G, Rosenberg I, et al. (2010): Peripheral nerves: Ultrasound-guided interventional procedures. Semin Musculoskelet Radiol; 14:514-559.
[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.
[20]
157. Racasan O and Dubert T. (2005): The safest location for steroid injection in the treatment of carpal tunnel syndrome. J Hand Surg Br: 30; 412–414.
Browse journals by subject