지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 388 - 394 (7page)
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초록· 키워드
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Objective To verify the feasibility of initial parameters of ultrasonography or electromyography for the prediction of eff ect after steroid injection therapy in a carpal tunnel syndrome (CTS) patient.
Method We recruited individuals with clinical and electrodiagnostic evidence of CTS. Results from the Boston self-assessment questionnaire, median motor and sensory nerve conduction studies, and median nerve ultrasonography were evaluated at baseline, 1 month, and 6 months after injection. Evaluation of median nerve ultrasonography parameters included measurements taken at the maximal swelling point (MS), 2 cm proximal from MS (2MS), and 12 cm proximal from MS (12MS), and its ratio (MS/12MS, 2MS/12MS) was calculated. The correlation between improvement of the symptom score after treatment and baseline parameters was estimated.
Results Fourteen individuals (14 women, mean age 53.8 years) with 22 aff ected wrists were enrolled. After steroid injection therapy, clinical and electromyographic parameters showed signifi cant improvements at 1 month or 6months after injection, and ultrasonographic parameters showed signifi cant changes in maximal area and area ratio (MS/12MS) of the median nerve. Symptom score improvement showed a positive correlation in the initial 2MS and ratio of 2MS/12MS after 6 months (p<0.05).
Conclusion Most of the improvements occurred during the fi rst month after injection and lasted up to 6 months.
Th e initial median nerve swelling and its ratio may be a useful predictor of response after steroid injection.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Abicalaf CA / 2007 / Ultrasound evaluation of patients with carpal tunnel syndrome before and after endoscopic release of the transverse carpal ligament / Clin Radiol 62 : 8
Armstrong T / 2004 / Intracarpal steroid injection is safe and effective for short-term management of carpal tunnel syndrome / Muscle Nerve 29 : 82 ~ 88
Colak A / 2007 / Use of sono graphy in carpal tunnel syndrome surgery. A prospective study / Neurol Med Chir 47 : 109 ~ 115
Gelberman RH / 1988 / Carpal tunnel syndrome. A scientific basis for clinical care / Orthop Clin North Am 19 : 115 ~ 124
Hagebeuk EE / 2004 / Clinical and electrophysiological follow-up after local steroid in jec tion in the carpal tunnel syndrome / Clin Neurophysiol 115 : 1464 ~ 1468
Armstrong T / 2004 / Intracarpal steroid injection is safe and effective for short-term management of carpal tunnel syndrome / Muscle Nerve 29 : 82 ~ 88
Colak A / 2007 / Use of sono graphy in carpal tunnel syndrome surgery. A prospective study / Neurol Med Chir 47 : 109 ~ 115
Gelberman RH / 1988 / Carpal tunnel syndrome. A scientific basis for clinical care / Orthop Clin North Am 19 : 115 ~ 124
Hagebeuk EE / 2004 / Clinical and electrophysiological follow-up after local steroid in jec tion in the carpal tunnel syndrome / Clin Neurophysiol 115 : 1464 ~ 1468
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