To compare the efficacy of local and intramuscular steroid injection in patients with carpal tunnel syndrome: A randomized study

I0 个研究点目标入组 0 人开始时间: 待定最近更新: 2021年11月24日

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•Subjects satisfying the clinical and electrodiagnostic criteria for carpal tunnel syndrome.
•CTS-6 EVALUATION TOOL:
•A)Symptoms and History:
•1.Numbness predominantly or exclusively in the median nerve territory- 3.5
•2.Nocturnal numbness- 4
•B)Physical examination:
•3.Thenar atrophy and/or weakness- 5
•4.Positive Phalenâ??s test- 5
•5.Loss of 2-point discrimination- 4.5
•6.Positive Tinel sign- 4
•ELECTRODIAGNOSTIC CRITERIAS FOR CARPAL TUNNEL SYNDROME:
•A.Distal medial motor latency >4.4ms.
•B.Difference between distal motor latency of median and ulnar nerve >1.1ms.
•C.Difference between distal sensory latency of median and ulnar nerve >0.2ms.
•D.i. Difference between median and ulnar sensory latency on stimulating 4th digit and recording from wrist at equal distance >0.2ms.
•ii.Difference between median and radial sensory latency on stimulating thumb and recording from wrist at equal distance >0.4ms.
•E.Palm wrist conduction: difference between median and ulnar sensory latency across 8cm >0.4ms.
•F.Inching technique: latency jump >0.2ms/cm.
•G.Comparison of lumbricals (median nerve) and interosseous (ulnar nerve) latencies >=0.6ms
•Subjects willing to provide informed written consent

•Subjects will not participate in the study if they meet any of the following criteria:
•1.Uncontrolled diabetes mellitus
•2.Hypothyroidism
•3.Inflammatory arthritis
•4.Pregnancy
•5.History of previous wrist fracture.

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