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    题名: Sonographic Median Nerve Change after Steroid Injection for Carpal Tunnel Syndrome
    作者: Wang, Jia-Chi;Lin, Kon-Ping;Liao, Kwong-Kum;Chang, Yue-Cune;Wang, Kevin A.;Huang, Yu-Fang;Chiu, Jan-Wei
    关键词: carpal tunnel syndrome;cross‐sectional area;paresthesias sonography;steroid injection;ultrasound
    日期: 2018-09
    上传时间: 2019-03-16 12:10:45 (UTC+8)
    摘要: Introduction: The sonographic changes of the median nerve after steroid injection for carpal tunnel syndrome (CTS) still require investigation. Methods: Sixty‐two patients with CTS were included. The Boston Carpal Tunnel Questionnaire was administered, and ultrasonographic examinations were performed before and at 2, 6, and 12 weeks after steroid injection. At 12 weeks, general improvement was scored on a 6‐point Likert scale. Results: After treatment, the cross‐sectional area (CSA) of the median nerve was significantly reduced at 2‐, 6‐, and 12‐week follow‐ups (for each, P < 0.001, analysis of variance). The “significant improvement” group (n = 39) had a significantly greater reduction in the CSA at the carpal tunnel inlet (P = 0.014) and CSA in the proximal carpal tunnel (P = 0.003) compared with the “little/no improvement” group (n = 23). Discussion: Sonographic measurement of CSA may be considered complementary to the standard clinical evaluation in monitoring of treatment response in patients with CTS. Muscle Nerve 58: 402–406, 2018

    Introduction: The sonographic changes of the median nerve after steroid injection for carpal tunnel syndrome (CTS) still require investigation. Methods: Sixty‐two patients with CTS were included. The Boston Carpal Tunnel Questionnaire was administered, and ultrasonographic examinations were performed before and at 2, 6, and 12 weeks after steroid injection. At 12 weeks, general improvement was scored on a 6‐point Likert scale. Results: After treatment, the cross‐sectional area (CSA) of the median nerve was significantly reduced at 2‐, 6‐, and 12‐week follow‐ups (for each, P < 0.001, analysis of variance). The “significant improvement” group (n = 39) had a significantly greater reduction in the CSA at the carpal tunnel inlet (P = 0.014) and CSA in the proximal carpal tunnel (P = 0.003) compared with the “little/no improvement” group (n = 23). Discussion: Sonographic measurement of CSA may be considered complementary to the standard clinical evaluation in monitoring of treatment response in patients with CTS. Muscle Nerve 58: 402–406, 2018
    關聯: Muscle & Nerve 58(3), p.402-406
    DOI: 10.1002/mus.26171
    显示于类别:[數學學系暨研究所] 期刊論文

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