[The effect of corticoid injections in relation to the duration of the disease and distal motor latency in the carpal tunnel syndrome].

Abstract

The treatment of CTS (carpal tunnel syndrome) with Kenalog 40 is reported in 184 hands. Its effect is evaluated 1 week, 1 and 3 mos after the first and the second injections, respectively. As stated in the wrist, the effect occurred well and rapidly, though being temporary. It lasted more than 3 mos in about 57% of cases. No expressed difference between injection effects was stated in both DML-normal-and-pathologic and SCT-related subjects. Another finding consisted in that there was no significant difference in effects between the first and the second injections in any of observance intervals in either normal or DML pathologic subjects. Authors recommend to repeat injections immediately in relapsing disorders. Of relatively high occurrence were both the normal EMG and DML findings in subjects with long-term SCT symptoms. The lesser number of patients (cases of muscular atrophy with serious EMG changes) is directly admitted to surgery. The majority of patients is treated well with injections, and surgery is presumed only when conservative treatment becomes inefficient.

• Authors: H Matulová, F Pára, V Kyral
• Journal: Sbornik vedeckych praci Lekarske fakulty Karlovy univerzity v Hradci Kralove. Supplementum (Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl) Vol. 32 Issue 5 Pg. 589-96 ( 1989) ISSN: 0049-5522 [Print] Czech Republic
• Vernacular Title: Efekt obstriku kortikoidy ve vztahu k trvání potízí a distální motorické latenci u syndromu karpálního tunelu.
• PMID: 2638040 (Publication Type: English Abstract, Journal Article)

Chemical References

• Triamcinolone Acetonide

Topics

• Adult
• Aged
• Aged, 80 and over
• Carpal Tunnel Syndrome (drug therapy, physiopathology)
• Electromyography
• Evoked Potentials (drug effects)
• Female
• Humans
• Injections
• Male
• Median Nerve (physiopathology)
• Middle Aged
• Reaction Time (drug effects)
• Triamcinolone Acetonide (administration & dosage, therapeutic use)