Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome

Karaahmet, Ozgur Zeliha; ACER, SEVTAP; KAZANCI, Atilla; Cakci, Aytul; KARSLI, Pinar Bora; UMA KARACAY, Ebru; Gurcay, Ahmet Gurhan; Gurcan, Oktay; ÜNLÜ AKYÜZ, ECE

Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome

Ahmet Gürhan GÜRÇAY, (İzmir Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İzmir, Türkiye)

Özgür Zeliha KARAAHMET, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Oktay GÜRCAN, (İzmir Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İzmir, Türkiye)

Atilla KAZANCI, (İzmir Atatürk Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İzmir, Türkiye)

Pinar Bora KARSLI, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Ebru UMA KARACAY, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Sevtap ACER, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

ECE ÜNLÜ AKYÜZ, (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Aytül ÇAKCI (Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Turkish Neurosurgery

3 0

Yıl: 2017 Cilt: 27 Sayı: 3 Sayfa Aralığı: 447 - 452 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome

Öz:

AIm: To investigate the effectiveness of local steroid injection and surgical decompression in the treatment of patients with severe carpal tunnel syndrome (CTS) and also to compare short-term outcomes using clinical and electrophysiological criteria. mATERIAl and mEThODS: The patients diagnosed as severe CTS were divided into two groups. Group 1 received local steroid injection and Group 2 underwent surgical decompression. The Boston Questionnaire that consists of two sections as the Boston Symptom Severity Scale (BSS) and the Functional Status Scale (FSS) was completed by the patients. RESUlTS: A total of 33 patients completed the study. Since two patients had bilateral severe CTS, a total of 35 hands were evaluated in the study. In Group 1, a significant difference was recorded between some pre- and post-treatment clinical parameters (BSS and FSS scores) and all electrophysiological parameters excluding motor conduction velocities. In Group 2, a statistically significant difference was found between pre- and post-treatment BSS scores and all electrophysiological parameters excluding motor conduction velocity and distal latency. However intergroup differences were not statistically significant as for all clinical and electrophysiological parameters (BSS, FSS, sensory amplitude, sensory conduction velocity, distal latency, motor amplitude, motor conduction velocity). CONClUSION: In the treatment of severe CTS, steroid injection and surgical decompression achieved favourable improvements in clinical and electrophysiological parameters within a short-term without superiority of one treatment over other. Therefore, in patients in whom surgical decompression can not be applied, local steroid injection can be recommended as a less invasive and a promising treatment alternative.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gurcay A, Karaahmet O, Gurcan O, KAZANCI A, KARSLI P, UMA KARACAY E, ACER S, ÜNLÜ AKYÜZ E, Cakci A (2017). Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. , 447 - 452.
Chicago	Gurcay Ahmet Gurhan,Karaahmet Ozgur Zeliha,Gurcan Oktay,KAZANCI Atilla,KARSLI Pinar Bora,UMA KARACAY Ebru,ACER SEVTAP,ÜNLÜ AKYÜZ ECE,Cakci Aytul Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. (2017): 447 - 452.
MLA	Gurcay Ahmet Gurhan,Karaahmet Ozgur Zeliha,Gurcan Oktay,KAZANCI Atilla,KARSLI Pinar Bora,UMA KARACAY Ebru,ACER SEVTAP,ÜNLÜ AKYÜZ ECE,Cakci Aytul Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. , 2017, ss.447 - 452.
AMA	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. . 2017; 447 - 452.
Vancouver	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. . 2017; 447 - 452.
IEEE	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A "Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome." , ss.447 - 452, 2017.
ISNAD	Gurcay, Ahmet Gurhan vd. "Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome". (2017), 447-452.

APA	Gurcay A, Karaahmet O, Gurcan O, KAZANCI A, KARSLI P, UMA KARACAY E, ACER S, ÜNLÜ AKYÜZ E, Cakci A (2017). Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. Turkish Neurosurgery, 27(3), 447 - 452.
Chicago	Gurcay Ahmet Gurhan,Karaahmet Ozgur Zeliha,Gurcan Oktay,KAZANCI Atilla,KARSLI Pinar Bora,UMA KARACAY Ebru,ACER SEVTAP,ÜNLÜ AKYÜZ ECE,Cakci Aytul Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. Turkish Neurosurgery 27, no.3 (2017): 447 - 452.
MLA	Gurcay Ahmet Gurhan,Karaahmet Ozgur Zeliha,Gurcan Oktay,KAZANCI Atilla,KARSLI Pinar Bora,UMA KARACAY Ebru,ACER SEVTAP,ÜNLÜ AKYÜZ ECE,Cakci Aytul Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. Turkish Neurosurgery, vol.27, no.3, 2017, ss.447 - 452.
AMA	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. Turkish Neurosurgery. 2017; 27(3): 447 - 452.
Vancouver	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome. Turkish Neurosurgery. 2017; 27(3): 447 - 452.
IEEE	Gurcay A,Karaahmet O,Gurcan O,KAZANCI A,KARSLI P,UMA KARACAY E,ACER S,ÜNLÜ AKYÜZ E,Cakci A "Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome." Turkish Neurosurgery, 27, ss.447 - 452, 2017.
ISNAD	Gurcay, Ahmet Gurhan vd. "Comparison of Short-Term Clinical and Electrophysiological Outcomes of Local Steroid Injection and Surgical Decompression in the Treatment of Carpal Tunnel Syndrome". Turkish Neurosurgery 27/3 (2017), 447-452.