View : 15 Download: 0

Effect of metabolic syndrome on the outcome of corticosteroid injection for carpal tunnel syndrome

Title
Effect of metabolic syndrome on the outcome of corticosteroid injection for carpal tunnel syndrome
Authors
Roh Y.H.Lee B.K.Baek J.R.Park M.H.Noh J.H.Gong H.S.Baek G.H.
Ewha Authors
노영학
SCOPUS Author ID
노영학scopus
Issue Date
2016
Journal Title
Journal of Hand Surgery: European Volume
ISSN
1753-1934JCR Link
Citation
vol. 41, no. 9, pp. 963 - 969
Keywords
Carpal tunnel syndromecorticosteroid injectionmetabolic syndrome
Publisher
SAGE Publications Ltd
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Diffuse peripheral nerve impairment is common in metabolic syndrome: in patients with metabolic syndrome and carpal tunnel syndrome this might affect the outcome of treatment by local corticosteroid injection. A total of 55 consecutive patients with carpal tunnel syndrome and metabolic syndrome treated with corticosteroid injection (10 mg triamcinolone acetonide) were age and sex matched with 55 control patients without metabolic syndrome. Grip strength, perception of touch with Semmes-Weinstein monofilaments and Boston Carpal Tunnel Questionnaires were assessed at the baseline and at 6, 12 and 24 weeks follow-up. The two groups had similar pre-operative grip strength and Boston Carpal Tunnel Questionnaire scores. The Boston Carpal Tunnel Questionnaire symptom and function scores of the metabolic syndrome group were significantly greater than the control group at 12 and 24 weeks follow-up. Except for significantly greater grip strength at the 12-week follow-up in the control group, there were no significant differences in grip strength between the groups. Semmes-Weinstein monofilament sensory index for the control group was significantly greater than that of the metabolic syndrome group throughout the 24-week follow-up. After 24 weeks, five patients (13%) in the control group and 13 patients (27%) in the metabolic syndrome group had had carpal tunnel surgery. Patients with metabolic syndrome are at risk for poor functional outcome and failure of treatment after corticosteroid injection for carpal tunnel syndrome. © The Author(s) 2016.
DOI
10.1177/1753193416654447
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE