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
- 2018.1
- 수록면
- 213 - 221 (9page)
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초록· 키워드
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Objective To assess the predictive variables after sonographically guided corticosteroid injection in carpal tunnel syndrome. Methods A prospective, observational study was carried out on 25 wrists of 20 consecutive patients with carpal tunnel syndrome, confirmed by the American Association of Neuromuscular and Electrodiagnostic Medicine criteria, which includes clinical history, symptoms, and evidence of slowing of distal median nerve conduction. Visual analogue scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ) were asked to the patients before and 4 weeks after the procedure. On a basis of VAS difference before and after the procedure, we divided the patients into two groups: more than 50% of VAS improving (good response group) and less than 50% of VAS improving (poor response group). Also, nerve conduction studies and ultrasound evaluations were performed prior to sonographically guided corticosteroid injection and at 4 weeks after the procedure. The cross-sectional area (CSA) of median nerve at maximal swelling point around wrist was measured by manual tracing using ultrasonography. With assessments mentioned above, we tried to assess predictive variables for prognosis after sonographically guided corticosteroid injection in carpal tunnel syndrome. Results The CSA of median nerve at wrist measured before the procedure was significantly larger in good response group than in poor response group. Furthermore, the CSA of median nerve at wrist, symptom severity scale of BCTQ, motor/sensory latency and sensory amplitude were correlated with VAS improving. Conclusion The CSA of median nerve at wrist is the strongest predictive value for sonographically guided corticosteroid injection in mild-to-moderate carpal tunnel syndrome.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Wong SM / 2002 / Discriminatory sonographic criteria for the diagnosis of carpal tunnel syndrome / Arthritis Rheum 46:1914~1921
Buchberger W / 1992 / Carpal tunnel syndrome: diagnosis with high-resolution sonography / AJR Am J Roentgenol 159:793~798
Duncan I / 1999 / Sonography in the diagnosis of carpal tunnel syndrome / AJR Am J Roentgenol 173:681~684
Pastare D / 2009 / Sonography versus nerve conduction studies in patients referred with a clinical diagnosis of carpal tunnel syndrome / J Clin Ultrasound 37:389~393
Uchiyama S / 2010 / Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation / J Orthop Sci 15:1~13
Buchberger W / 1992 / Carpal tunnel syndrome: diagnosis with high-resolution sonography / AJR Am J Roentgenol 159:793~798
Duncan I / 1999 / Sonography in the diagnosis of carpal tunnel syndrome / AJR Am J Roentgenol 173:681~684
Pastare D / 2009 / Sonography versus nerve conduction studies in patients referred with a clinical diagnosis of carpal tunnel syndrome / J Clin Ultrasound 37:389~393
Uchiyama S / 2010 / Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation / J Orthop Sci 15:1~13
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