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Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2006 / Cilt: 52 - Sayı: 2

Comparison of splinting, splinting plus local steroid injection and surgery in carpal tunnel syndrome treatment

Karpal tünel sendromu tedavisinde splint, splint ile lokal steroid enjeksiyonu ve cerrahinin karşılaştırılması

Halil UÇAN
Lale YILMAZ
Fırat YAĞMURLU
Esra Dilek KESKİN
Hatice BODUR
İlker YAĞCI
Pages
55–60
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In median sensorial nerve velocity at palm-wrist segment all treatments were increased the velocity (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study was designed to compare the short term efficacy of splinting, splinting plus local steroid injection and surgery in mild or moderate idiopathic carpal tunnel syndrome (CTS) treatment.
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Key Findings & Data:Materials and Methods: Fifty-seven hands were divided into three groups in which 23 hands were splinted, 23 hands were splinted and one time steroid injection was applied, and 11 hands were operated.
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Conclusion & Impact:In median sensorial nerve velocity at palm-wrist segment all treatments were increased the velocity (p
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study was designed to compare the short term efficacy of splinting, splinting plus local steroid injection and surgery in mild or moderate idiopathic carpal tunnel syndrome (CTS) treatment. Materials and Methods: Fifty-seven hands were divided into three groups in which 23 hands were splinted, 23 hands were splinted and one time steroid injection was applied, and 11 hands were operated. The patients were evaluated before and 90 days after treatment with electrophysiological studies and Boston Questionnaire (BQ). Results: In BQ symptom severity (SS) and functional capacity (FC) scores, median motor nerve distal latency, median motor nerve compound muscle action potential amplitude at wrist, and ankle, median sensorial nerve velocity at 2nd digit-wrist segment, and median sensorial nerve action potential amplitude at 2nd digit-wrist segment measures statistically significant improvements were found in both of three methods (p0.05). However the SS score of splinting and splinting plus injection were statistically lower than surgery at 90th day and the FC score of splinting plus injection was lower than splinting and surgery. In median sensorial nerve velocity at palm-wrist segment all treatments were increased the velocity (p

Özet

Amaç: Bu çalışmada, karpal tünel sendromu (KTS) tedavisinde splint, splint ile lokal steroid enjeksiyonu ve cerrahinin kısa dönemdeki etkinliklerinin karşılaştırılması amaçlandı. Gereç ve Yöntem: Çalışmaya hafif veya orta dereceli, idiyopatik KTS'li 57 el alındı ve 23 ele splint, 23 ele splint ile enjeksiyon, 11 ele ise cerrahi uygulandı. Hastalar, tedavi öncesi ve tedavi sonrası 90. günde elektrofizyolojik ölçümler ve Boston Anketi (BA) ile değerlendirildi. Bulgular: BA, semptom şiddet (SŞ) skorunda, fonksiyonel kapasite (FK) skorunda, elektrofizyolojik parametrelerden; median motor sinir distal latansı, bilek seviyesinde median motor sinir bileşik kas aksiyon potansiyeli (BKAP) amplitüdü, dirsek seviyesinde median motor sinir BKAP amplitüdü, ikinci parmak bilek segmenti median duyusal sinir iletim hızı, ikinci parmak bilek segmenti median sinir duyusal aksiyon potansiyeli amplitüdü ölçümlerinde tüm tedavi gruplarında anlamlı iyileşme saptandı (p0,05). Bununla birlikte SŞ'de 90. günde splint ve splint ile enjeksiyon yönteminin cerrahi grubuna göre, FK'de ise splint ile enjeksiyon grubu, splint ve cerrahi grubuna göre istatistik olarak daha iyi bulundu (p

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Cite This Article

UÇAN, H., YILMAZ, L., YAĞMURLU, F., KESKİN, E. D., BODUR, H., YAĞCI, İ. (2022). Comparison of splinting, splinting plus local steroid injection and surgery in carpal tunnel syndrome treatment. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 52 - Sayı: 2, 55–60. https://ajindex.com/articles/629183

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References (14)

  1. Stevens JC, Sun S, Beard CM, O'Fallon WM, Kurland LT. Carpal tunnel syndrome in Rochester Minnesota, 1961 to 1980. Neurology 1988;38:134-8
  2. Brown RA, Gelberman RH, Seiler JG, Abrahamsson SO, Weiland AJ, Urbaniak JR, et al. Carpal tunnel release. A prospective, randomized assessment of open and endoscopic methods. J Bone Joint Surg Am 1993;75(9):1265-75
  3. Holmgren-Larsson H, Leszniewski W, Linden U, Rabow L, Thorling J. Internal neurolysis or ligament division only in carpal tunnel syndrome-results of a randomized study. Acta Neurochir 1985;74(3-4):118-21
  4. Kruger VL, Kraft GH, Deitz JC, Ameis A, Polissar L. Carpal tunnel syndrome: objective measures and splint use. Arch Phys Med Rehabil 1991;72(7):517-20
  5. Manente G, Torrieri F, Di Balassio F, Staniscia T, Romano F, Uncini A. An innovative hand brace for carpal tunnel syndrome: A randomized controlled trial. Muscle Nerve 2001;24:1020-5
  6. Ayhan-Ardic FF, Erdem HR. Long-term clinical and electrophysiological results of local steroid injection in patients with carpal tunnel syndrome. Funct Neurol 2000;15(3):157-65
  7. Giannini F, Passero S, Cioni R, Paradiso C, Battistini N, Giordano N, et al. Electrophysiologic evaluation of local steroid injection in carpal tunnel syndrome. Arch Phys Med Rehabil 1991;72(10):738-42
  8. Dammers JW, Veering MM, Vermeulen M. Injection with methylprednisolone proximal to the carpal tunnel: randomised double-blind trial. BMJ 1999;319(7214):884-6
  9. Ozdogan H, Yazıcı H. The efficacy of local steroid injections in idiopathic carpal tunnel syndrome: a double-blind study. Br J Rheumatol 1984;23(4):272-5
  10. O'Gradaigh D, Merry P. Corticosteroid injection for the treatment of carpal tunnel syndrome. Ann Rheum Dis 2000;59(11):918-9
  11. Stevens JC. AAEM Minimonograph #26: The electrodiagnosis of carpal tunnel syndrome. Muscle Nerve 1997;20(12):1477-86
  12. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone and Joint Surg 1993;75(11):1585-92
  13. Heybeli N, Özerdemoğlu RA, Aksoy OG, Mumcu EF. Karpal Tünel Sendromu: cerrahi tedavi izleminde fonksiyonel ve semptomatik skorlama. Acta Orthop Traumatol Turc 2001;35:147-51
  14. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu EF. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand