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Journal of the Korean Society for Surgery of the Hand 1997;2(2):261-270.
Published online January 1, 1997.
Therapeutic Value of Carpal Tunnel Injection
Poong Taek Kim,Yang Soo Lee,Ik Dong Kim,Cheol Hyeon Kim
수근관내 주사요법의 치료 효과
김풍택,이양수,김익동,김칠현
Abstract
In order to define the role of steroid injection as a method of treatment of carpal tunnel syndrome, this study was performed on forty-two hands (bilateral injections were done in sixteen patients) in twenty-six patients. One to five injections were done in each hands by one hand surgeon who used the same technique. Follow-up periods after last steroid injection averaged 101 days(58-193days). Hands that initially had mild symptoms and findings of less than one years duration, no evidence of thenar atrophy, median sensory latencies of 4.3 msec. or less and median distal motor latencies of 5.7 msec. or less had more satisfactory responses to injections. Man had also satisfactory responses to injections. Completely responsed symptoms were night awakening(90%), pain(63%), tingling sense(55%), weakness(14%) and numbness(0%), in orders. Morbidity of this procedure is low, therapeutic value to the patient is often gratifying, and diagnositc value to the physician is potentially great, suggesting that carpal tunnel injection is a valuable tool in the armamentarium, of the hand surgeon.
 


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