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10.1002/acr.23108

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suck abstract from ncbi


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pmid27696773
      Arthritis+Care+Res+(Hoboken) 2017 ; 69 (7 ): 1060-1065
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  • Effectiveness of Ultrasound-Guided Compared to Blind Steroid Injections in the Treatment of Carpal Tunnel Syndrome #MMPMID27696773
  • Evers S ; Bryan AJ ; Sanders TL ; Selles RW ; Gelfman R ; Amadio PC
  • Arthritis Care Res (Hoboken) 2017[Jul]; 69 (7 ): 1060-1065 PMID27696773 show ga
  • OBJECTIVE: To compare the effectiveness of ultrasound-guided injections to blind injections in the treatment of carpal tunnel syndrome (CTS) in a large community-based cohort. METHODS: This study evaluated residents of Olmsted County, Minnesota, treated with a corticosteroid injection for CTS between 2001 and 2010. The proportion of patients receiving retreatment and the duration of retreatment-free survival between blind and ultrasound-guided injections were compared. Propensity score matching was used to control for confounding by indication. RESULTS: In the matched data set consisting of 234 (of 600) hands treated with a blind injection and 87 (of 89) ultrasound-guided injection cases, ultrasound guidance was associated with a reduced hazard of retreatment (hazard ratio 0.59 [95% confidence interval (95% CI) 0.37-0.93]). In addition, ultrasound guidance was associated with 55% reduced odds of retreatment within 1 year compared to blind injections (adjusted odds ratio 0.45 [95% CI 0.24-0.83]). CONCLUSION: This study indicates that ultrasound-guided injections are more effective in comparison to blind injections in the treatment of CTS.
  • |Adrenal Cortex Hormones/*administration & dosage [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Carpal Tunnel Syndrome/*diagnostic imaging/*drug therapy [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Humans [MESH]
  • |Injections, Intra-Articular [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Retrospective Studies [MESH]
  • |Treatment Outcome [MESH]


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