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Background: Local steroid injection is used to treat carpal tunnel syndrome (CTS). The aim of this study was to evaluate

the clinical and electrophysiological effects of local steroid injection in patients with CTS over a 3-months period.

Methods: Twenty-one patients (35 hands) with clinical and electrophysiological evidence of CTS were treated by

injection of triamcinolone 40 mg to the carpal tunnel. Visual analog scale (VAS), Boston Carpal Tunnel Questionnaire

(BCTQ), rates of paresthesia, night awakening, and electrophysiological studies were used as outcomes. Clinical and

electrophysiological assessments were performed before, 1 and 3 months after treatment.

Results: Prior to treatment, 86% of patients complained of night awakening. At 1 and 3 months after injection, only

17% and 29% of the patients, respectively, had night awakening (p<0.001). All patients complained of paresthesia

before the treatment. This symptom disappeared in 60% and 31% of the patients after 1 and 3 months, respectively

(p<0.001). Compared to baseline, both BCTQ and VAS show significant improvement during the 3 months of the study

(p<0.005). Although significant improvements in clinical parameters were shown, electrophysiological parameters were

not significantly improved at 1 and 3 months.

Conclusions: Local corticosteroid injection for the treatment of CTS provides significant improvement in symptoms for

3 months. On the other hand, no significant improvement was observed in electrophysiological parameters.

Background: Local steroid injection is used to treat carpal tunnel syndrome (CTS). The aim of this study was to evaluate

the clinical and electrophysiological effects of local steroid injection in patients with CTS over a 3-months period.

Methods: Twenty-one patients (35 hands) with clinical and electrophysiological evidence of CTS were treated by

injection of triamcinolone 40 mg to the carpal tunnel. Visual analog scale (VAS), Boston Carpal Tunnel Questionnaire

(BCTQ), rates of paresthesia, night awakening, and electrophysiological studies were used as outcomes. Clinical and

electrophysiological assessments were performed before, 1 and 3 months after treatment.

Results: Prior to treatment, 86% of patients complained of night awakening. At 1 and 3 months after injection, only

17% and 29% of the patients, respectively, had night awakening (p<0.001). All patients complained of paresthesia

before the treatment. This symptom disappeared in 60% and 31% of the patients after 1 and 3 months, respectively

(p<0.001). Compared to baseline, both BCTQ and VAS show significant improvement during the 3 months of the study

(p<0.005). Although significant improvements in clinical parameters were shown, electrophysiological parameters were

not significantly improved at 1 and 3 months.

Conclusions: Local corticosteroid injection for the treatment of CTS provides significant improvement in symptoms for

3 months. On the other hand, no significant improvement was observed in electrophysiological parameters.

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기사명 저자명 페이지 원문 목차
장기간 혼수 상태를 지속한 후 빠르게 회복된 Bickerstaff 뇌간 뇌염 조기용, 박영은, 김종국, 주재형, 박규현, 김대성 pp.30-33

무균성 수막염으로 발현한 흔하지 않은 뇌하수체졸중 박강민, 김연미, 김시은, 신경진, 하삼열, 박진세, 김성은 pp.24-26

한 대학병원에서 분석한 재발 벨마비 환자의 임상양상 김창형, 이동국 pp.1-6

수근관증후군에서 국소 스테로이드 주사 후 임상적, 전기생리학적 변화 김지훈, 이기욱, 윤보라, 김용덕, 정언석, 나상준 pp.7-12

고유감각소실을 주증상으로 보인 나병성 말초신경병증 윤태관, 조희영, 육지원, 신진홍, 김대성 pp.19-23

시신경염이 동반된 아급성염증탈수초다발신경병 김시은, 박강민, 박진세, 하삼열, 김성은, 김종국, 신경진 pp.13-18

인두-목-위팔 위약형 길랭-바레 증후군과 밀러-피셔 증후군이 겹친 증례에서 항-GQ1b 항체와 항-GT1a항체의 증가 이근호 pp.27-29

정상 신기능 환자에서 발생한 Acyclovir 유발 뇌병증 이상길, 윤일기, 박정준, 김재일, 이근호, 김지현 pp.34-36

참고문헌 (28건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Entrapment neuropathies of the upper extremities. 네이버 미소장
2 Prevalence of carpal tunnel syndrome in a general population. 네이버 미소장
3 Practice parameter: Neuroimaging of the neonate: [RETIRED] 네이버 미소장
4 Does endoscopic carpal tunnel release have a higher rate of complications than open carpal tunnel release?: An analysis of published series 네이버 미소장
5 A randomized controlled trial comparing open vs laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: An interim report 네이버 미소장
6 Oral drug of choice in carpal tunnel syndrome. 네이버 미소장
7 A randomised clinical trial of oral steroids in the treatment of carpal tunnel syndrome: a long term follow up. 네이버 미소장
8 Ultrasound Treatment for Treating the Carpal Tunnel Syndrome: Randomised "Sham" Controlled Trial 네이버 미소장
9 Injection with Methylprednisolone Proximal to the Carpal Tunnel: Randomised Double Blind Trial 네이버 미소장
10 Girlanda P, Dattola R, Venuto C, Mangiapane R, Nicolosi C, Messina C. Local steroid treatment in idiopathic carpal tunnel syndrome: short- and long-term efficacy. J Neurol 1993;240: 187-190. 미소장
11 Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting. 네이버 미소장
12 Clinical and electrophysiological follow-up after local steroid injection in the carpal tunnel syndrome 네이버 미소장
13 A prospective study of the long-term efficacy of local methyl prednisolone acetate injection in the management of mild carpal tunnel syndrome 네이버 미소장
14 Local corticosteroid treatment for carpal tunnel syndrome: a 6-month clinical and electrophysiological follow-up study. 네이버 미소장
15 Sevim S, Dogu O, Camdeviren H, Kaleagasi H, Aral M, Arslan E, et al. Long-term effectiveness of steroid injections and splinting in mild and moderate carpal tunnel syndrome. Neurol Sci 2004;25:48-52. 미소장
16 Corticosteroid injection for the treatment of carpal tunnel syndrome. 네이버 미소장
17 Electrophysiologic evaluation of local steroid injection in carpal tunnel syndrome. 네이버 미소장
18 Long term effect of local corticosteroid injection for carpal tunnel syndrome: A relation with electrodiagnostic severity 네이버 미소장
19 Practice parameter for carpal tunnel syndrome (Summary statement) 네이버 미소장
20 A Self-Administered Questionnaire for the Assessment of Severity of Symptoms and Functional Status in Carpal Tunnel Syndrome 네이버 미소장
21 Marshall S, Tardif G, Ashworth N. Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev 2007;CD001554. 미소장
22 A randomized controlled trial of surgery vs steroid injection for carpal tunnel syndrome 네이버 미소장
23 Jenkins PJ, Duckworth AD, Watts AC, McEachan JE. Corticosteroid injection for carpal tunnel syndrome: a 5-year survivorship analysis. HAND 2012;7:151-156. 미소장
24 Maine carpal tunnel study: Outcomes of operative and nonoperative therapy for carpal tunnel syndrome in a community-based cohort 네이버 미소장
25 Verdugo RJ, Salinas RA, Castillo JL, Cea JG. Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev 2008;CD001552. 미소장
26 Surgical decompression versus local steroid injection in carpal tunnel syndrome: A one‐year, prospective, randomized, open, controlled clinical trial 네이버 미소장
27 Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome. 네이버 미소장
28 Multiperspective follow-up of untreated carpal tunnel syndrome: a multicenter study. 네이버 미소장

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