Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?

Serpil Şehirlioğlu; Onat Akyol; Alican Açıkgöz; Emine Nur Tozan

Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?

Abstract

Carpal tunnel syndrome (CTS), a condition occurring in 0.1% of the general population, develops as the result of median nerve compression in the carpal tunnel of the wrist, usually because of tenosynovitis of the flexor tendons. We aimed to compare pulsed-mode radiofrequency lesioning of the median nerve to repetitive local steroid injections under ultrasound guidance (USG) for the treatment of CTS. Two groups were treated, each of 25 patients with a diagnosis of moderate CTS, referred to in this study as Group Steroid (Group S) and Group Radiofrequency (Group S+RF). Both groups received an injection of 1 ml 0.5% levobupivacaine mixed with 1 ml betamethasone into the carpal tunnel under USG. Four weeks later, Group S received a local steroid injection together with the same initial dose, and Group S+RF received pulsed-mode radiofrequency. All procedures were applied under the USG(Esaote® MyLab Five, Netherlands) by the same doctor (Dr Sehirlioglu) Boston Carpal Tunnel Questionnaire (BCTQ) and electromyographic evaluation were applied to all patients on their first visit and 12 weeks later. At the 12th week, changes of the electrophysiological parameters of the median nerve were recorded for both groups, including motor and sensorial conduction velocity, functional capacity and symptom

Keywords

Carpal tunnel,pain,radiofrequency,median nerve,usg

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Serpil Şehirlioğlu This is me
Türkiye

Onat Akyol This is me
Türkiye

Alican Açıkgöz This is me
Türkiye

Emine Nur Tozan
0000-0002-6480-5356
Türkiye

Publication Date

February 2, 2020

Submission Date

September 25, 2019

Acceptance Date

-

Published in Issue

Year 2020 Volume: 6 Number: 1

IZ

https://izlik.org/JA57DH36LE

Cite

RIS / Bibtex

APA

Şehirlioğlu, S., Akyol, O., Açıkgöz, A., & Tozan, E. N. (2020). Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome? Aydın Sağlık Dergisi, 6(1), 43-55. https://izlik.org/JA57DH36LE

AMA

1.Şehirlioğlu S, Akyol O, Açıkgöz A, Tozan EN. Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome? Aydın Health. 2020;6(1):43-55. https://izlik.org/JA57DH36LE

Chicago

Şehirlioğlu, Serpil, Onat Akyol, Alican Açıkgöz, and Emine Nur Tozan. 2020. “Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?”. Aydın Sağlık Dergisi 6 (1): 43-55. https://izlik.org/JA57DH36LE.

EndNote

Şehirlioğlu S, Akyol O, Açıkgöz A, Tozan EN (February 1, 2020) Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome? Aydın Sağlık Dergisi 6 1 43–55.

IEEE

[1]S. Şehirlioğlu, O. Akyol, A. Açıkgöz, and E. N. Tozan, “Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?”, Aydın Health, vol. 6, no. 1, pp. 43–55, Feb. 2020, [Online]. Available: https://izlik.org/JA57DH36LE

ISNAD

Şehirlioğlu, Serpil - Akyol, Onat - Açıkgöz, Alican - Tozan, Emine Nur. “Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?”. Aydın Sağlık Dergisi 6/1 (February 1, 2020): 43-55. https://izlik.org/JA57DH36LE.

JAMA

1.Şehirlioğlu S, Akyol O, Açıkgöz A, Tozan EN. Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome? Aydın Health. 2020;6:43–55.

MLA

Şehirlioğlu, Serpil, et al. “Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome?”. Aydın Sağlık Dergisi, vol. 6, no. 1, Feb. 2020, pp. 43-55, https://izlik.org/JA57DH36LE.

Vancouver

1.Serpil Şehirlioğlu, Onat Akyol, Alican Açıkgöz, Emine Nur Tozan. Is Ultrasound-Guided Steroid Injection With Pulsed Radiofrequency Lesioning of The Median Nerve Effective For Treatment of Carpal Tunnel Syndrome? Aydın Health [Internet]. 2020 Feb. 1;6(1):43-55. Available from: https://izlik.org/JA57DH36LE