Safety of corticosteroid injection for carpal tunnel syndrome
| العنوان: | Safety of corticosteroid injection for carpal tunnel syndrome |
|---|---|
| المؤلفون: | Emma Kaile, Jeremy D.P. Bland |
| المصدر: | Journal of Hand Surgery (European Volume). 43:296-302 |
| بيانات النشر: | SAGE Publications, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Triamcinolone acetonide, medicine.drug_class, Triamcinolone, Injections, Intra-Articular, 03 medical and health sciences, 0302 clinical medicine, Atrophy, Depigmentation, Adrenal Cortex Hormones, medicine, Humans, 030212 general & internal medicine, Carpal tunnel syndrome, Adverse effect, Aged, Aged, 80 and over, business.industry, Middle Aged, Tendon rupture, medicine.disease, Carpal Tunnel Syndrome, Surgery, Anesthesia, Corticosteroid, Female, medicine.symptom, business, 030217 neurology & neurosurgery, Carpal tunnel injection, medicine.drug |
| الوصف: | The risks of corticosteroid injection for carpal tunnel syndrome, principally intraneural injection and tendon rupture, are known only from anecdotal reports. The literature does not allow an accurate estimate of their incidence or that of lesser side effects such as local pain. We have encountered only four serious complications in 9515 injections. We asked patients about possible side effects at routine follow-up, 6 weeks after 689 injections with 40 mg triamcinolone. Possible side effects were reported after 33% of injections. The commonest was short-lived local pain, which occurred in 13% of injected limbs, all cases having resolved within 3 weeks. No cases of intraneural injection or tendon rupture occurred, even after repeated injection. Most adverse effects were transient, but 13 hands exhibited persistent skin depigmentation or subcutaneous atrophy. This data provides the best current estimate of the risks of carpal tunnel injection and may be used to inform patients considering this intervention. Level of evidence: IV |
| تدمد: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193417734426 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dff305fcf2690a6062521d2460f8ab72 https://doi.org/10.1177/1753193417734426 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....dff305fcf2690a6062521d2460f8ab72 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20436289 17531934 |
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| DOI: | 10.1177/1753193417734426 |