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Clinical Trial Report

Comparing The Efficacy Of Local Triamcinolone Injection In Carpal Tunnel Syndrome Using Three Different Approaches with or without Ultrasound Guidance

ORCID Icon, , ORCID Icon, ORCID Icon & ORCID Icon
Pages 2951-2958 | Published online: 24 Oct 2019

Figures & data

Figure 1 US-guided injections with demonstration of needle tip (long arrow) along with median nerve (short arrow) just before the carpal tunnel inlet. a) Ulnar in-plane approach: in this method, the wrist was placed on the table in slightly dorsiflexed and supinated position and the injection was done at tunnel inlet from ulnar side lateral to ulnar artery, below the median nerve. b) Midline in-plane approach: in this method, we placed the wrist on the same position as above mentioned and the same needle features but the injection was done above the median nerve.

Figure 1 US-guided injections with demonstration of needle tip (long arrow) along with median nerve (short arrow) just before the carpal tunnel inlet. a) Ulnar in-plane approach: in this method, the wrist was placed on the table in slightly dorsiflexed and supinated position and the injection was done at tunnel inlet from ulnar side lateral to ulnar artery, below the median nerve. b) Midline in-plane approach: in this method, we placed the wrist on the same position as above mentioned and the same needle features but the injection was done above the median nerve.

Figure 2 US-measuring of median nerve (white arrow) just before the carpal tunnel inlet.

Figure 2 US-measuring of median nerve (white arrow) just before the carpal tunnel inlet.

Figure 3 Flowchart of the study’s population.

Figure 3 Flowchart of the study’s population.

Table 1 Comparison Of Demographic Characteristics And Baseline Variables Among Patients Of Three Groups

Table 2 Comparison Of Pre- And Post-Treatment Clinical Values In Each Group

Table 3 Comparison Of Pre- And Post-Treatment Electro-Diagnostic Values In Each Group

Table 4 Comparison Of Improvement In Clinical And Electro-Diagnostic Variables Among Three Groups