Ultrasound Guided Steroids Injection for Carpal Tunnel Syndrome

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.

<p>Ultrasound-Guided Corticosteroid Injection in Carpal Tunnel Syndrome: Comparison Between Radial and Ulnar Approaches</p>

“…5 In a routine practice, this intervention is often performed blindly, with a high risk of damaging the nerve and vulnerable structures such as tendons and vessels. 15 Racasan and Dubert 16 reported that the median nerve is at risk of damage if the injection is performed within 1 cm on either the ulnar or the radial side of the palmaris longus tendon with a blind procedure. The Ultrasound guidance might improve the accuracy and the effectiveness of steroid injection in CTS.…”

Ultrasound-guided local corticosteroid injection for carpal tunnel syndrome: A meta-analysis of randomized controlled trials

“…1,2 Compared with the landmark-guided approach, ultrasound-guided can dynamically display carpal tunnel structures, anatomical variations, and the needle position during injection in real-time, avoiding iatrogenic injury of median nerve, tendon, and vessel. [3][4][5] A recent systematic review conducted by Babaei-Ghazani et al 6 had indicated that ultrasound-guided was superior to landmark-guided in symptom severity improvement, nevertheless, no significant differences were observed in functional status or electrophysiological improvements. Despite extensive review of the literature, only three randomized controlled trials (RCTs) [7][8][9] were included in their meta-analysis.…”