Long-term outcome of carpal tunnel syndrome after conservative treatment

被引：17

作者：

Hui, ACF

Wong, SM

Tang, A

Mok, V

Hung, LK

Wong, KS

机构：

[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Med, Shatin, Hong Kong, Peoples R China

[2] Chinese Univ Hong Kong, Prince Wales Hosp, Ctr Clin Trials & Epidemiol Res, Shatin, Hong Kong, Peoples R China

[3] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Orthopaed, Shatin, Hong Kong, Peoples R China

来源：

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE | 2004年 / 58卷 / 04期

关键词：

carpal tunnel syndrome; corticosteroid injection; prognosis; treatment;

D O I：

10.1111/j.1368-5031.2004.00028.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The purpose of this study was to investigate the long-term prognosis of patients with carpal tunnel syndrome (CTS). We prospectively followed-up patients with CTS for 80 weeks. Thirty cases had been treated with a single injection of methylprednisolone acetate and another 30 with a 10-day course of prednisolone. At the end of the follow-up period, there were no significant differences in symptoms as measured by global symptom score and in the proportion of patients who progressed to decompressive surgery. Few patients who were not operated on (11.4%) remain asymptomatic.

引用

收藏

页码：337 / 339

页数：3

相关论文

共 17 条

[1] Oral drug of choice in carpal tunnel syndrome [J].

Chang, MH ;

Chiang, HT ;

Lee, SSJ ;

Ger, LP ;

Lo, YK .

NEUROLOGY, 1998, 51 (02) :390-393

[2] Injection with methylprednisolone proximal to the carpal tunnel: randomised double blind trial [J].

Dammers, JWHH ;

Veering, MM ;

Vermeulen, M .

BRITISH MEDICAL JOURNAL, 1999, 319 (7214) :884-886

[3] Long-term symptom outcomes of carpal tunnel syndrome and its treatment [J].

DeStefano, F ;

Nordstrom, DL ;

Vierkant, RA .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1997, 22A (02) :200-210

[4] TREATMENT OF CARPAL-TUNNEL SYNDROME BY MEMBERS OF THE AMERICAN-SOCIETY-FOR-SURGERY-OF-THE-HAND - RESULTS OF A QUESTIONNAIRE [J].

DUNCAN, KH ;

LEWIS, RC ;

FOREMAN, KA ;

NORDYKE, MD .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1987, 12A (03) :384-391

[5] CARPAL-TUNNEL SYNDROME - RESULTS OF A PROSPECTIVE TRIAL OF STEROID INJECTION AND SPLINTING [J].

GELBERMAN, RH ;

ARONSON, D ;

WEISMAN, MH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1980, 62 (07) :1181-1184

[6] LOCAL STEROID TREATMENT IN IDIOPATHIC CARPAL-TUNNEL SYNDROME - SHORT-TERM AND LONG-TERM EFFICACY [J].

GIRLANDA, P ;

DATTOLA, R ;

VENUTO, C ;

MANGIAPANE, R ;

NICOLOSI, C ;

MESSINA, C .

JOURNAL OF NEUROLOGY, 1993, 240 (03) :187-190

[7] COMPLICATIONS OF LOCAL CORTICOSTEROID INJECTIONS [J].

GOTTLIEB, NL ;

RISKIN, WG .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (15) :1547-1548

[8] LOW-DOSE, SHORT-TERM ORAL PREDNISONE IN THE TREATMENT OF CARPAL-TUNNEL SYNDROME [J].

HERSKOVITZ, S ;

BERGER, AR ;

LIPTON, RB .

NEUROLOGY, 1995, 45 (10) :1923-1925

[9] Oral steroid in the treatment of carpal tunnel syndrome [J].

Hui, ACF ;

Wong, SM ;

Wong, KS ;

Li, E ;

Kay, R ;

Yung, P ;

Hung, LK ;

Yu, LM .

ANNALS OF THE RHEUMATIC DISEASES, 2001, 60 (08) :813-814

[10]

OZDOGAN H, 1984, BRIT J RHEUMATOL, V23, P272