Sonographic median nerve change after steroid injection for carpal tunnel syndrome

Muscle & Nerve
Jia-Chi WangJan-Wei Chiu

Abstract

The sonographic changes of the median nerve after steroid injection for carpal tunnel syndrome (CTS) still require investigation. 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. 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). 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.

References

Nov 1, 1984·The Journal of Hand Surgery·D P Green
Aug 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K Nakamichi, S Tachibana
Nov 1, 1993·The Journal of Bone and Joint Surgery. American Volume·D W LevineJ N Katz
Sep 2, 1999·AJR. American Journal of Roentgenology·I DuncanF Lomas
Oct 3, 1999·BMJ : British Medical Journal·J W DammersM Vermeulen
Nov 24, 1999·The Journal of Bone and Joint Surgery. American Volume·D RempelG Lundborg
Jun 13, 2001·Neurology·L PaduaUNKNOWN Italian CTS Study Group. Carpal tunnel syndrome
Jul 13, 2002·Muscle & Nerve·UNKNOWN American Association of Electrodiagnostic Medicine, American Academy of Neurology, and American Academy of Physical Medicine
Aug 10, 2002·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Robert A Werner, Michael Andary
May 12, 2004·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·E E O Hagebeuk, A W de Weerd
May 25, 2004·Radiology·Shiu Man WongKa Sing Wong
Mar 27, 2007·Neurologia Medico-chirurgica·Ahmet ColakKenan Kibici
Jun 10, 2008·Muscle & Nerve·Martijn H Smidt, Leo H Visser
Sep 24, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jay SmithJeffrey M Payne
Jul 6, 2010·Archives of Physical Medicine and Rehabilitation·Bionka M HuisstedeBart W Koes
Jun 16, 2011·Muscle & Nerve·Michael S CartwrightFrancis O Walker
Jun 19, 2013·Journal of Neuropathology and Experimental Neurology·Annina B SchmidElspeth M McLachlan
Oct 3, 2013·Journal of Molecular Neuroscience : MN·Federica GinanneschiAlessandro Rossi
Aug 5, 2017·Skeletal Radiology·Yeon Soo Lee, Eunseok Choi

❮ Previous
Next ❯

Citations

Apr 8, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Verena J M M SchrierPeter C Amadio
Aug 17, 2021·The Journal of Bone and Joint Surgery. American Volume·Yoshiaki YamanakaAkinori Sakai

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.