MEDIAN NERVE CHANGES FOLLOWING STEROID INJECTION FOR CARPAL TUNNEL SYNDROME

被引：63

作者：

Cartwright, Michael S. ^{[1
]}

White, David L. ^{[1
]}

Demar, Samantha ^{[1
]}

Wiesler, Ethan R. ^{[2
]}

Sarlikiotis, Thomas ^{[2
]}

Chloros, George D. ^{[2
]}

Yoon, Joon Shik ^{[3
]}

Won, Sun Jae ^{[3
]}

Molnar, Joseph A. ^{[4
]}

Defranzo, Anthony J. ^{[4
]}

Walker, Francis O. ^{[1
]}

机构：

[1] Wake Forest Univ, Sch Med, Dept Neurol, Winston Salem, NC 27157 USA

[2] Wake Forest Univ, Sch Med, Dept Orthoped, Winston Salem, NC 27157 USA

[3] Korea Univ, Coll Med, Dept Phys Med & Rehabil, Seoul 136705, South Korea

[4] Wake Forest Univ, Sch Med, Dept Plast & Reconstruct Surg, Winston Salem, NC 27157 USA

来源：

MUSCLE & NERVE | 2011年 / 44卷 / 01期

关键词：

carpal tunnel syndrome; injection; median nerve; steroid; ultrasound; ULTRASONOGRAPHY; ULTRASOUND; DIAGNOSIS; SURGERY;

D O I：

10.1002/mus.22067

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: Neuromuscular ultrasound is a painless, radiation-free, high-resolution imaging modality for assessment of the peripheral nervous system. The purpose of this study was to use neuromuscular ultrasound to assess the changes that occur in the median nerve after steroid injection for carpal tunnel syndrome (CTS). Methods: Ultrasound and nerve conduction studies were performed at baseline and 1 week, 1 month, and 6 months after steroid injection in 19 individuals (29 wrists) with CTS. Results: Significant changes were noted in median nerve cross-sectional area (P < 0.001), mobility (P = 0.001), and vascularity (P = 0.042) at the distal wrist crease after steroid injection, and the nerve cross-sectional area correlated with symptom score and electrodiagnostic parameters. Changes in the ultrasonographic parameters were seen within 1 week of injection. Conclusions: These findings suggest neuromuscular ultrasound is potentially helpful for the assessment of individuals undergoing treatment for CTS, as typical changes can be expected after successful treatment injection. Muscle Nerve 44: 25-29, 2011

引用

页码：25 / 29

页数：5

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