Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach A Prospective, Randomized, Single-Blinded Study
DC Field | Value | Language |
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dc.contributor.author | Lee, Jin Young | - |
dc.contributor.author | Park, Yongbum | - |
dc.contributor.author | Park, Ki Deok | - |
dc.contributor.author | Lee, Ju Kang | - |
dc.contributor.author | Lim, Oh Kyung | - |
dc.date.available | 2020-02-28T15:44:15Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2014-12 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/12087 | - |
dc.description.abstract | The objective of this study is to evaluate the degree of symptom improvement and the change of electrophysiological and ultrasonographic findings after sonographically guided local steroid injection using an in-plane ulnar approach in carpal tunnel syndrome (CTS). Seventy-five cases of 44 patients diagnosed with CTS were included and evaluated at baseline and at 4 and 12 weeks after injection. All patients received injection with 40 mg of triamcinolone mixed with 1 mL of 1% lidocaine into the carpal tunnel using an in-plane Ultrasound (US)guided ulnar approach, out-plane US-guided approach, and blind injection. For clinical evaluation, we used the Boston Carpal Tunnel Questionnaire (BCTQ) and electrophysiological tests. The ultrasonographic findings were also evaluated with regard to cross-sectional area and the flattening ratio of the median nerve. Subjective symptoms measured by BCTQ and median nerve conduction parameters showed significant improvement at 4 weeks in the in-plane ulnar approach group compared with the out-plane ulnar approach and blind injection. This improvement was still observed at 12 weeks. The flattening ratio and cross-sectional area of the median nerve showed a more significant decrease with the in-plane ulnar approach than with the out-plane ulnar approach and blind injection (P < 0.05). US-guided local steroid injection using an in-plane ulnar approach in the CTS may be more effective than out-plane or blind injection. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.relation.isPartOf | MEDICINE | - |
dc.subject | MEDIAN NERVE | - |
dc.subject | STEROID INJECTION | - |
dc.title | Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach A Prospective, Randomized, Single-Blinded Study | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000346985700037 | - |
dc.identifier.doi | 10.1097/MD.0000000000000350 | - |
dc.identifier.bibliographicCitation | MEDICINE, v.93, no.29 | - |
dc.identifier.scopusid | 2-s2.0-84920822736 | - |
dc.citation.title | MEDICINE | - |
dc.citation.volume | 93 | - |
dc.citation.number | 29 | - |
dc.contributor.affiliatedAuthor | Lee, Jin Young | - |
dc.contributor.affiliatedAuthor | Park, Ki Deok | - |
dc.contributor.affiliatedAuthor | Lee, Ju Kang | - |
dc.contributor.affiliatedAuthor | Lim, Oh Kyung | - |
dc.type.docType | Article | - |
dc.subject.keywordPlus | MEDIAN NERVE | - |
dc.subject.keywordPlus | STEROID INJECTION | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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