The long-term follow-up of treatment with corticosteroid injections in patients with carpal tunnel syndrome. When are multiple injections indicated?

被引：25
作者：
Berger, M. [1 ]
Vermeulen, M. [1 ]
Koelman, J. H. T. M. [2 ]
van Schaik, I. N. [1 ,2 ]
Roos, Y. B. W. E. M. [1 ,2 ]
机构：
[1] Univ Amsterdam, Acad Med Ctr, Dept Neurol, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Neurophysiol, NL-1105 AZ Amsterdam, Netherlands
来源：
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2013年 / 38卷 / 06期
关键词：
Carpal tunnel syndrome; corticosteroid; injections; treatment; long term; RANDOMIZED CONTROLLED-TRIAL; DOUBLE-BLIND TRIAL; STEROID INJECTION; GENERAL-POPULATION; METHYLPREDNISOLONE; PREVALENCE;
D O I：
10.1177/1753193412469580
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The objective of this prospective study was to investigate the long-term effect of one or more local corticosteroid injections in patients with carpal tunnel syndrome and whether a good response can be predicted. Follow-up visits took place at 3 weeks, 6 months, and 1 year after the first corticosteroid injection. Thirty of the 120 patients (25%) had a good outcome with a single injection, 11 additional patients (9%) needed a second injection, and five patients (4%) needed a third injection to reach a good outcome after 1 year. Of patients with an initial good treatment response, 28 (52%) had a good outcome after 1 year compared with 18 (27 %) who had an initially moderate or no response to treatment. One-third of patients with carpal tunnel syndrome had a long-term beneficial effect from corticosteroid injection, especially when they had a good initial response.
引用
收藏
页码：634 / 639
页数：6
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