Vol 85: Preoperative corticosteroid injections are associated with worse long-term outcome of surgical carpal tunnel release: A retrospective study of 174 hands with a mean follow-up of 5.5 years.Report as inadecuate



 Vol 85: Preoperative corticosteroid injections are associated with worse long-term outcome of surgical carpal tunnel release: A retrospective study of 174 hands with a mean follow-up of 5.5 years.


Vol 85: Preoperative corticosteroid injections are associated with worse long-term outcome of surgical carpal tunnel release: A retrospective study of 174 hands with a mean follow-up of 5.5 years. - Download this document for free, or read online. Document in PDF available to download.

Download or read this book online for free in PDF: Vol 85: Preoperative corticosteroid injections are associated with worse long-term outcome of surgical carpal tunnel release: A retrospective study of 174 hands with a mean follow-up of 5.5 years.
This article is from Acta Orthopaedica, volume 85.AbstractBackground and purpose: Failed closed treatment of carpal tunnel syndrome CTS is often followed by surgery. We investigated whether preoperative steroid injections could have a negative effect on the long-term outcome of the operation. Patients and methods: 174 hands 164 patients were operated on by a single surgeon at Tartu University Hospital in 2005. The patients were interviewed by telephone 5–6 years after the operation. Self-reported data were gathered retrospectively concerning the number of steroid injections received before the surgery and the perceived regression of symptoms on a 100-point numeric rating scale at the time of interview. The patients were also asked about the presence of specific symptoms of CTS if regression of their symptoms had not been complete. Results: 93 of the 174 hands had complete regression of symptoms. Each additional injection was associated with an increased risk of occurrence of pain RR = 1.1, 95% CI: 1.02–1-2, paresthesiae RR = 1.1, CI: 1.1–1.2, and nocturnal awakenings RR = 1.2, CI: 1.1–1.3. There was a weak association between the number of injections and the score given to regression of symptoms. Interpretation: This is the first study to indicate that patients who received a greater number of local steroid injections preoperatively were more likely to have postoperative complaints associated with CTS.



Author: Vahi, Paul-Sander; Kals, Mart; Koiv, Leho; Braschinsky, Mark

Source: https://archive.org/







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