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Rheumatology International

, Volume 27, Issue 1, pp 45–51 | Cite as

Comparison of splinting, splinting plus local steroid injection and open carpal tunnel release outcomes in idiopathic carpal tunnel syndrome

  • Halil Ucan
  • Ilker YagciEmail author
  • Lale Yilmaz
  • Fırat Yagmurlu
  • Dilek Keskin
  • Hatice Bodur
Original Article

Abstract

The objective of this study was to compare the short- and long-term efficacies of splinting (S), splinting plus local steroid injection (SLSI), and open carpal tunnel release (OCTR) in mild or moderate idiopathic carpal tunnel syndrome (CTS). Patients with mild or moderate idiopathic CTS who experienced symptoms for over 6 months were included in the study. The patients were evaluated for the baseline and the third and sixth month scores after treatment. Follow-up criteria were ENMG parameters, Boston Questionnaire, and patient satisfaction. Fifty-seven hands completed the study. Twenty-three hands had been splinted for 3 months. Twenty-three hands were given a single steroid injection and splinted for 3 months, and 11 hands were operated. In the first 3 months, all treatment methods provided significant improvements in both clinical and EMG parameters in which OCTR had better outcomes on median sensorial nerve velocity at palm wrist segment. In the second 3 months, while the clinical and EMG parameters began to deteriorate in S and SLSI group, OCTR group continued to improve, and BQ functional capacity score of OCTR group was statistically better than that in conservative methods (P = 0.03). S and SLSI treatments improved clinical and EMG parameters comparable to OCTR in short term. However, these beneficial effects were transient in the sixth month follow-up and OCTR was superior to conservative treatments.

Keywords

Idiopathic carpal tunnel syndrome Splinting Corticosteroid injection Surgery 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Halil Ucan
    • 1
  • Ilker Yagci
    • 2
    • 4
    Email author
  • Lale Yilmaz
    • 1
  • Fırat Yagmurlu
    • 3
  • Dilek Keskin
    • 1
  • Hatice Bodur
    • 1
  1. 1.2nd Department of Physical Medicine and RehabilitationAnkara Numune Education and Research HospitalAnkaraTurkey
  2. 2.Department of Physical Medicine and RehabilitationMarmara University HospitalIstanbulTurkey
  3. 3.3rd Department of Orthopedics and TraumatologyAnkara Numune Education and Research HospitalAnkaraTurkey
  4. 4.IstanbulTurkey

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