Can ultrasound-guided steroid injection lead to an improvement in the symptoms of pregnancy-related carpal tunnel syndrome? With splint or alone?

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Suna Aşkın Turan, Zafer Bütün, Masum Kayapınar, Hasan Turan
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引用次数: 0

Abstract

BackgroundPregnancy-related carpal tunnel syndrome (PRCTS) is the most common mononeuropathy during pregnancy.Objectiveto compare the efficacy of ultrasound (US)-guided steroid injection alone versus wiht splinting on symptom severity on PRCTS.MethodsThis retrospective cohort study included 37 pregnant women in their third trimester with PRCTS, treated with ultrasound-guided steroid injection of 4 mg dexamethasone into the median nerve (Group I, n = 15), volar splinting in a neutral position while sleeping and during the day whenever possible for at least ten weeks (Group S, n = 12), or both injection and splinting (Group I + S, n = 10). Patient data were collected from hospital records, and symptoms were assessed using the Boston Carpal Tunnel Symptom Questionnaire (BCTQ), the Douleur Neuropathique 4 (DN4) and the Numeric Rating Scale (NRS). Statistical analyses included Student's t-test, Mann-Whitney U test, Fisher's exact test, ANOVA, Kruskal-Wallis test, descriptive analyses, and power analyses.ResultsDuring the first month of intervention, group S had higher BCTQ scores than the other two groups (p < 0.001). In the postpartum period, the order of scores was Group S > Group I > Group I + S (p < 0.001). The effect size was significant with Partial eta squared = 0.369.ConclusionThe combination of splinting and injection seems to be more effective in the short term period. But still, to validate our findings, Additional randomized controlled trials are recommended.

超声引导类固醇注射能改善妊娠相关腕管综合征的症状吗?使用夹板还是单独使用?
背景妊娠相关性腕管综合征(PRCTS)是妊娠期最常见的单神经病变。目的比较超声引导下单独注射类固醇与夹板对PRCTS症状严重程度的影响。方法本回顾性队列研究纳入37例妊娠晚期PRCTS孕妇,超声引导下向正中神经注射地塞米松4 mg类固醇(I组,n = 15),睡觉时和白天尽可能保持中立位掌侧夹板(S组,n = 12),或同时注射和夹板(I + S组,n = 10)。从医院记录中收集患者资料,并使用波士顿腕管症状问卷(BCTQ)、Douleur神经病变量表(DN4)和数字评定量表(NRS)对症状进行评估。统计分析包括学生t检验、Mann-Whitney U检验、Fisher精确检验、方差分析、Kruskal-Wallis检验、描述性分析和功效分析。结果干预第一个月,S组BCTQ得分高于其他两组(p)。产后评分顺序为S组>组>组I + S组(p效应量显著,偏eta平方= 0.369。结论夹板联合注射治疗短期内效果较好。但是,为了验证我们的发现,建议进行额外的随机对照试验。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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