Ultrasound-Guided vs. Blind Steroid Injections in Carpal Tunnel Syndrome

Üstün, Nilgün; Tok, Fatih; Yagz, Abdullah Erman; Kızıl, Nurhan; Korkmaz, İnan; Karazincir, Sinem; Okuyucu, Esra; Turhanoğlu, Ayşe Dicle

doi:10.1097/phm.0b013e31829b4d72

Cited by 98 publications

(99 citation statements)

References 15 publications

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“…Üstün et al compared the efficacy and safety of US-guided versus blind steroid injections in 46 CTS patients (11). The authors concluded that although both US-guided and blind steroid injections were effective in reducing the symptoms of CTS and improving the function, an earlier Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, injection under ultrasound (US) guidance may increase precision and therapeutic outcomes and decrease complication rates. There are only a few studies that have investigated US guidance for injections in CTS, and they generally determined that US-guided injections result in better symptom relief and increased and long-lasting therapeutic effects compared to blind injections (11)(12)(13). Since the studies in this area are limited in number, this study was conducted to compare the effectiveness of USguided injection versus blind injection of corticosteroids in the treatment of severe CTS according to symptom severity, hand function, and electrophysiological parameters.…”

Section: Introductionmentioning

confidence: 99%

“…A cadaveric study has demonstrated that there is wide variability of injectate distribution following injection (9). Moreover, steroid injections tend to cause complications such as nerve insult, vessel insult, and skin lesions (e.g., color change) (10)(11)(12). Median nerve injury is the most serious complication associated with local steroid injection for CTS (10).…”

Section: Introductionmentioning

confidence: 99%

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Comparing the effectiveness of ultrasound-guided versus blind steroid injection in the treatment of severe carpal tunnel syndrome

Karaahmet¹,

Gürçay²,

Kara³

et al. 2017

Turk J Med Sci

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Background/aim: This study aimed to compare the effectiveness of ultrasound (US)-guided injection versus blind injection of corticosteroids in the treatment of carpal tunnel syndrome (CTS). Materials and methods:This prospective, randomized clinical trial included patients with severe CTS based on clinical and electrophysiological criteria. The patients were evaluated for clinical and electrophysiological parameters at baseline and 4 weeks after treatment. Symptom severity and hand function were assessed by the Boston questionnaire. The patients underwent blind injection or US-guided injection.Results: When compared with baseline, both groups showed significant improvement in Boston questionnaire scores and all electrophysiological parameters. Significant differences were observed between the groups for clinical parameters (Boston Symptom Severity Scale: P = 0.007; Functional Status Scale: P < 0.001) in favor of the US-guided group. Conclusion:This study demonstrated that both US-guided and blind injections were effective in reducing symptoms and improving hand function. US-guided injections may yield more effective clinical results in the short-term than blind injections in the treatment of patients with severe CTS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparing the effectiveness of ultrasound-guided versus blind steroid injection in the treatment of severe carpal tunnel syndrome

Karaahmet¹,

Gürçay²,

Kara³

et al. 2017

Turk J Med Sci

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show abstract

“…It provides a real-time anatomic, high-resolution image of the median nerve, the carpal tunnel, and the neighboring structures, and helps physicians to place the needle tip and inject closer to the median nerve accurately. Several previous studies have demonstrated higher effectiveness of ultrasound-guided injections in CTS when compared to blind injections [1,12,13,14,15]. …”

Section: Introductionmentioning

confidence: 99%

“…Carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the upper extremity [1]. It has been estimated to occur in 3-4% of the general population with a predominance among the female gender [2].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome

Guo

Xiong²,

Zhao³

et al. 2017

Eur Neurol

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Background: To compare the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the transverse carpal ligament (TCL) in carpal tunnel syndrome (CTS). Methods: Between May 2014 and June 2016, 52 patients (56 wrists) with CTS were included in this study. Among these patients, 28 wrists were treated with ultrasound-guided corticosteroid injection plus needle release of the TCL (group A) and 28 wrists were treated with a single ultrasound-guided corticosteroids injection (group B). The following parameters were assessed and compared including postoperative results of procedure based on relief of symptoms, electrophysiological parameters (distal motor latency, sensory conduction velocity, and sensory nerve action potential of median nerve), and ultrasound parameters (anteroposterior diameter and cross-sectional area of the median nerve at the levels of pisiform and hamate bone, and the thicknesses of TCL on the cross-section at the level of hamate bone). Results: The overall excellent and good rate regarding the postoperative results of procedure based on the relief of symptoms at 1 month postoperatively was 82.1% in group A and 46.4% in group B (p = 0.004). There was significant difference in the above electrophysiological and ultrasound parameters between the preoperative and postoperative values in both groups (all p < 0.05). Furthermore, a significant difference was also observed in the postoperative values of the above-mentioned electrophysiological and ultrasound parameters in the 2 groups (all p < 0.05). Conclusions: Both approaches had treatment benefit in CTS. Ultrasound-guided corticosteroid injection in combination with needle release of the TCL is superior to the single ultrasound-guided corticosteroids injection.

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Local corticosteroid injection versus placebo for carpal tunnel syndrome

Ashworth

Bland

Chapman

et al. 2023

Cochrane Database of Systematic Reviews

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Ultrasound-Guided vs. Blind Steroid Injections in Carpal Tunnel Syndrome

Abstract: Although both US-guided and blind steroid injections were effective in reducing the symptoms of CTS and improving the function, an earlier onset/better improvement of symptom relief suggests that US-guided steroid injection may be more effective than are blind injections in CTS.

Cited by 98 publications

References 15 publications

Comparing the effectiveness of ultrasound-guided versus blind steroid injection in the treatment of severe carpal tunnel syndrome

Comparing the effectiveness of ultrasound-guided versus blind steroid injection in the treatment of severe carpal tunnel syndrome

Comparison of the Clinical Effectiveness of Ultrasound-Guided Corticosteroid Injection with and without Needle Release of the Transverse Carpal Ligament in Carpal Tunnel Syndrome

Local corticosteroid injection versus placebo for carpal tunnel syndrome

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