ArticleActa orthopaedica2014
Preoperative corticosteroid injections are associated with worse long-term outcome of surgical carpal tunnel release.
Article in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A systematic review of steroid use in peripheral nerve pathologies and treatment.Frontiers in neurology · 2024Pooled it
- Different doses of steroid injection in elderly patients with carpal tunnel syndrome: a triple-blind, randomized, controlled trial.Clinical interventions in aging · 2018Trial
- Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Trial
- The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review.Archives of plastic surgery · 2023Article
- When Is It Safe to Operate After Therapeutic Carpal Tunnel Injections?Hand (New York, N.Y.) · 2023Article
- Intra-flexor retinaculum steroid injection in elderly patients with carpal tunnel syndrome: A randomized clinical trial.Interventional pain medicine · 2022Article
- Marrying Tendon and Nerve Gliding Exercises with Hydrodissection Following Injection for Carpal Tunnel Syndrome - A New Treatment Approach?Journal of orthopaedic case reports · 2020Article
- Analysis of Expected Costs of Carpal Tunnel Syndrome Treatment Strategies.Hand (New York, N.Y.) · 2019Article
- Variation in Nonsurgical Services for Carpal Tunnel Syndrome Across a Large Integrated Health Care System.The Journal of hand surgery · 2019Article
- Carpal Tunnel Release Versus Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Meta-Analysis of Randomized Controlled Trials.JB & JS open accessReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeFailed closed treatment of carpal tunnel syndrome (CTS) is often followed by surgery. We investigated whether preoperative steroid injections could have a negative effect on the long-term outcome of the operation. PATIENTS AND
methods174 hands (164 patients) were operated on by a single surgeon at Tartu University Hospital in 2005. The patients were interviewed by telephone 5-6 years after the operation. Self-reported data were gathered retrospectively concerning the number of steroid injections received before the surgery and the perceived regression of symptoms (on a 100-point numeric rating scale) at the time of interview. The patients were also asked about the presence of specific symptoms of CTS if regression of their symptoms had not been complete.
results93 of the 174 hands had complete regression of symptoms. Each additional injection was associated with an increased risk of occurrence of pain (RR = 1.1, 95% CI: 1.02-1-2), paresthesiae (RR = 1.1, CI: 1.1-1.2), and nocturnal awakenings (RR = 1.2, CI: 1.1-1.3). There was a weak association between the number of injections and the score given to regression of symptoms.
interpretationThis is the first study to indicate that patients who received a greater number of local steroid injections preoperatively were more likely to have postoperative complaints associated with CTS.
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