Effects of perineural steroid injections on median nerve conduction during the carpal tunnel release

Stepić, Nenad; Novakovic, Marjan; Martić, Vesna; Perić, Dušan

doi:10.2298/vsp0811825s

Cited by 7 publications

(10 citation statements)

References 6 publications

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“…For the full text screening, 51 papers were assessed, leaving 9 relevant studies: 5 papers with intraoperative CIs and 5 papers with preoperative CIs. 7 8 9 10 11 12 13 14 15 One study used both intraoperative and preoperative CIs. 14 The reviewing process is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…One study described postoperative symptom relief of CTS. 10 Stepić et al registered the disappearance of symptoms in 40 patients after CTR, of which 20 patients received an intraoperative CI. After 3 months, only one patient (5%) receiving intraoperative CI still experienced symptoms, compared with two patients (10%) in the control group.…”

Section: Resultsmentioning

confidence: 99%

“…9,10 However, no benefit is seen in using intraoperative CI for the final outcomes in terms of symptoms, function, and electrophysiology. 7,8,10 Hanssen et al found that an intraoperative CI increases the risk of having a postoperative infection compared with the control group. 14 This study, however, associates the infection rates with extended operative techniques, such as flexor tenosynovectomy and the insertion of a surgical drain, and not with the steroid usage.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies using intraoperative CIs did not find any infection in their cohorts after CTR, leading to believe the usage of this injection does not predispose patients to postoperative infections. [7][8][9][10] In Mottaghi et al, all patients received postoperative prophylactic cefazolin 500 every 6 hours for 3 days, which can cause unnecessary antibiotic resistance due to the fact that intraoperative CI does not significantly induce infections. 7 Kirby et al showed that the usage of preoperative CI increases the risk of having a postoperative infection significantly.…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

et al. 2023

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Background Carpal tunnel syndrome can be treated with corticosteroid injections (CIs) and surgery. In this systematic review, the influence of previous CI on different postoperative outcomes after carpal tunnel release is evaluated. Methods A systematic literature search using several databases was performed to include studies that examined patients diagnosed with carpal tunnel syndrome who received preoperative or intraoperative CIs. Results Of 2,459 articles, 9 were eligible for inclusion. Four papers reported outcomes of preoperative and four outcomes of intraoperative CIs. One study evaluated patients who received both intraoperative and preoperative corticosteroids. Conclusion Intraoperative CIs are associated with reduced postoperative pain after carpal tunnel release and support earlier recovery of the hand function that can be objectified in a faster median nerve conduction speed recovery and lower Boston Carpal Tunnel Questionnaire (BCTQ) scores. Using preoperative CIs did not lead to enhanced recovery after carpal tunnel release, and both preoperative and intraoperative CIs might be predisposing factors for infections.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

et al. 2023

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“…One hypothesis is that corticosteroids possess direct antinociceptive effects via alteration of nerve fiber conductivity [27]. One hypothesis is that corticosteroids possess direct antinociceptive effects via alteration of nerve fiber conductivity [27].…”

Section: Mechanisms Of Actionmentioning

confidence: 99%

Epidural steroids for spinal pain and radiculopathy

Wilkinson

Cohen

2013

Current Opinion in Anaesthesiology

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Purpose of reviewEpidural steroid injections (ESIs) are the most commonly performed intervention in pain clinics across the USA and worldwide. In light of the growing use of ESIs, a recent spate of highly publicized infectious complications, and increasing emphasis on cost-effectiveness, the utility of ESI has recently come under intense scrutiny. This article provides an evidence-based review of ESIs, including the most up-to-date information on patient selection, comparison of techniques, efficacy, and complications. Recent findingsThe data strongly suggest that ESIs can provide short-term relief of radicular symptoms but are less convincing for long-term relief, and mixed regarding cost-effectiveness. Although some assert that transforaminal ESIs are more efficacious than interlaminar ESIs, and that fluoroscopy can improve treatment outcomes, the evidence to support these assertions is limited. SummaryThe cost-effectiveness of ESI is the subject of great debate, and similar to efficacy, the conclusions one draws appear to be influenced by specialty. Because of the wide disparities regarding indications and utilization, it is likely that indiscriminate use is cost-ineffective, but that judicious use in well-selected patients can decrease healthcare utilization. More research is needed to better refine selection criteria for ESI, and to determine which approach, what dose, and how many injections are optimal.

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Carpal Tunnel Syndrome. Part II: Effectiveness of Surgical Treatments—A Systematic Review

Huisstede

Randsdorp

Coert

et al. 2010

Archives of Physical Medicine and Rehabilitation

119

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Effects of perineural steroid injections on median nerve conduction during the carpal tunnel release

Abstract: Intraoperative application of the corticosteroid injection during the surgical decompression results in faster regaining of conduction speed of the median nerve.

Cited by 7 publications

References 6 publications

The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

Epidural steroids for spinal pain and radiculopathy

Carpal Tunnel Syndrome. Part II: Effectiveness of Surgical Treatments—A Systematic Review

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