|
" Ultrasonography predictive factors of response to local steroid injection in patients with carpal tunnel "
\ Hadiseh Ramezanian
; Farnaz Dehghan, Shila Haghighat
| center
|
:
|
Isfahan University of Medical Sciences
|
| Document Type
|
:
|
Latin Dissertation
|
| Language of Document
|
:
|
English
|
| Record Number
|
:
|
109837
|
| Doc. No
|
:
|
T17361
|
| Call number
|
:
|
WL520,R172u,2016
|
| Main Entry
|
:
|
Ramezanian, Hadiseh
|
| Title & Author
|
:
|
Ultrasonography predictive factors of response to local steroid injection in patients with carpal tunnel \ Hadiseh Ramezanian
|
| College
|
:
|
Schools, Medical
|
| Date
|
:
|
, 2016
|
| Degree
|
:
|
Speciality
|
| field of study
|
:
|
Physical Medicinen and Rehabilitation
|
| Page No
|
:
|
19 P.: tab
|
| Note
|
:
|
This is a research dissertation with project ID: 394227
|
|
|
:
|
حدیثه رمضانیان
|
| Abstract
|
:
|
Objectives: To determine the predictive value of ultrasonography for results of local steroid injection in patients with carpal tunnel syndrome.Methods: This prospective cohort study was conducted during a 1-year period in outpatient clinics of rehabilitation and physical medicine including 35 patients with moderate and severe carpal tunnel syndrome who receive ultrasonography-guided local steroid injection. The Boston self-assessment questionnaire and electrodiagnosis parameters were recorded at baseline, 1 month and 3 months after therapy. We also recorded the baseline ultrasonography parameters to determine the predictors of outcome. Results: The sensory severity score and functional status scale along with electrodiagnosis parameters decreased significantly at 1 month (p<0.001) and remained unchanged after 3 months. Volar bulging was negatively associated with sensory nerve action potential latency (r=−0.392; p=0.020). Cross-sectional area of maximal swelling (r=0.409; p=0.015) Cross-sectional area at 2-cm of maximal swelling (r=0.563; p<0.001), Cross-sectional area at 12-cm of maximal swelling (r=0.521; p=0.001) correlated positively with compound muscle action potential amplitude while maximal swelling/12-cm maximal swelling ratio (r=−0.439; p=0.008) and maximal swelling/ 2-cm maximal swelling ratio (r=−0.342; p=0.045) correlated negatively. Cross-sectional area at 12-cm of maximal swelling also correlated positively with compound muscle action potential amplitude nerve conduction velocity (r=0.436; p=0.010).Conclusion: Volar bulging, cross-sectional area of maximal swelling, cross-sectional area of maximal swelling at 2-cm and cross-sectional area of maximal swelling at 12-cm are among the ultrasonographic predictors of response to local steroid injection in patients with carpal tunnel syndrome.
|
| Descriptor
|
:
|
Carpal Tunnel Syndrome
|
|
|
:
|
Steroids
|
|
|
:
|
Ultrasonography
|
|
|
:
|
Forecasting
|
| Added Entry
|
:
|
Dehghan, Farnaz, Thesis advisor
|
|
|
:
|
Haghighat, Shila, Thesis advisor
|
| |