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Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome

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dc.creator KUTLUHAN, Süleyman
dc.creator KOYUNCUOGLU, Hasan Rifat
dc.creator KERMAN, M
dc.creator AKHAN, G
dc.creator HEYBELI, N
dc.creator Demirci, Serpil
dc.creator AKKUS, S
dc.date 2002-04-30T21:00:00Z
dc.date.accessioned 2020-10-06T10:50:26Z
dc.date.available 2020-10-06T10:50:26Z
dc.identifier 9e7f82a9-54e4-49de-bb86-29d612b3df4d
dc.identifier 10.1007/s00296-002-0184-0
dc.identifier https://avesis.sdu.edu.tr/publication/details/9e7f82a9-54e4-49de-bb86-29d612b3df4d/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/67677
dc.description To compare the efficacy of local steroid injection and open carpal tunnel release, a symptom and functional status questionnaire (Boston Questionnaire) and sensory and motor nerve conduction studies were performed in 90 patients with electrophysiologically proven idiopathic carpal tunnel syndrome, of whom 44 were treated surgically and 46 by two-dose steroid injection. Electrophysiologic studies and the Boston Questionnaire were applied before and at the 3rd and 6th months after treatment. Both groups showed significant improvement at first follow-up. The surgically treated group showed a significant and further improvement of symptoms and conduction values between the 3rd- and 6th-month evaluations, whereas no significant change was observed in the patient group treated by steroid injection. By the end of follow-up, 5% of the hands in the open carpal tunnel release (OCTR) group and 13% of the hands in the local steroid injection (LSIG) group showed electrophysiological worsening, and 5% of the hands in the OCTR group and 22% of the hands in the LSIG group showed symptomatic worsening. Our results show that steroid injection provides an improvement comparable with that from surgical release of the median nerve at a 3-month interval. However, this improvement is not long-lasting.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome
dc.type info:eu-repo/semantics/article


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