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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2018 | Research article

Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome

Authors: Xuan-Yan Guo, Mao-Xiang Xiong, Man Lu, Xue-Qing Cheng, Yan-Yan Wu, Shi-Yin Chen, Kai Chen, Qiao-Dan Zhou, Lei Wang, Li Tan, Jie-Rong Quan, Fan-Ding He, Qin Chen

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

Abstract

Background

To compare the clinical effectiveness of ultrasound-guided needle release of the transverse carpal ligament (TCL) with and without corticosteroid injection in carpal tunnel syndrome (CTS).

Methods

From June 2016 to June 2017, 49 CTS patients (50 wrists) were included in this study. Twenty-five wrists were treated with ultrasound-guided needle release of the TCL plus corticosteroid injection (group A), and 25 wrists were treated with single ultrasound-guided needle release of the TCL (group B). The following parameters were assessed and compared including postprocedure results according to relief of symptoms, ultrasound parameters (cross-sectional area of the median nerve at the levels of pisiform, flattening ratio of median nerve at the levels of the hamate bone, and the thicknesses of TCL on the cross-section at the level of the hamate bone), and electrophysiological parameters (distal motor latency and sensory conduction velocity).

Results

Group A had higher overall excellent and good rate 3 months after the procedure than group B (84 vs 52%, P < 0.05). There were significant differences regarding the above ultrasonic and electrophysiological parameters between the baseline and postprocedure values in both groups (all P < 0.05). There were significant differences regarding the postprocedure values of above ultrasonic and electrophysiological parameters between the two groups (all P < 0.05). No complications such as infection or tendon rupture were noted. No procedures were converted to the open release.

Conclusions

Both techniques are effective in treating CTS. Ultrasound-guided needle release of the TCL with corticosteroid injection had better treatment benefits than single ultrasound-guided needle release of the TCL in treating CTS.

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Title: Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome
Authors: Xuan-Yan Guo
Mao-Xiang Xiong
Man Lu
Xue-Qing Cheng
Yan-Yan Wu
Shi-Yin Chen
Kai Chen
Qiao-Dan Zhou
Lei Wang
Li Tan
Jie-Rong Quan
Fan-Ding He
Qin Chen
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-018-0771-8

ACC 2024 Congress

Springer Medicine

Ultrasound-guided needle release of the transverse carpal ligament with and without corticosteroid injection for the treatment of carpal tunnel syndrome

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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