Literature DB >> 31920370

Comparing the Efficacy of Local Triamcinolone Injection in Carpal Tunnel Syndrome Using Three Different Approaches with or without Ultrasound Guidance [Letter].

Jiaming Zhou1, Yuan Xue1.   

Abstract

Entities:  

Year:  2019        PMID: 31920370      PMCID: PMC6935277          DOI: 10.2147/JPR.S238017

Source DB:  PubMed          Journal:  J Pain Res        ISSN: 1178-7090            Impact factor:   3.133


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Dear editor

We read the article by Rayegani et al with great interest.1 In their study, the authors compared three methods (landmark-guided, conventional ultrasound-guided midline approach and ultrasound-guided ulnar in-plane method) in the treatment of carpal tunnel syndrome (CTS) and found that all of these three methods could improve pain intensity, function and electrophysiologic and radiographic outcomes. In addition, no statistical differences were found among the three groups in any outcomes. However, the unreasonable P values in the study should be noted. In Table 2, five P values were greater than 0.05.1 For example, the P value in the ulnar in-plane group regarding Boston questionnaire symptom severity scale (BQ-SSS) was 0.542, meaning no significant difference was found in symptom severity before and after ultrasound-guided ulnar in-plane triamcinolone injection. But according to our clinical and statistical experience, nearly 50% improvement showed a non-significant difference was inconceivable. Meanwhile, previous studies all showed statistical improvements in BQ-SSS after ultrasound-guided corticosteroid injection treatment.2–5 Considering the authors used paired t-test through SPSS software in the study, P values in the Paired Samples Correlations and in the Paired Samples Test could be confused in the output document if not careful, so the P values in the Paired Samples Correlations may be recorded as original P values in the Paired Samples Test. Hence, we advise the authors recalculate the data in this part. If all the P values in Table 2 were less than 0.05, the “Discussion” and “Conclusion” section should be corrected appropriately.
  5 in total

1.  Ultrasound-guided vs. blind steroid injections in carpal tunnel syndrome: A single-blind randomized prospective study.

Authors:  Nilgün Ustün; Fatih Tok; Abdullah Erman Yagz; Nurhan Kizil; Inan Korkmaz; Sinem Karazincir; Esra Okuyucu; Ayse Dicle Turhanoglu
Journal:  Am J Phys Med Rehabil       Date:  2013-11       Impact factor: 2.159

2.  A Randomized Prospective Comparison of Ultrasound-Guided and Landmark-Guided Steroid Injections for Carpal Tunnel Syndrome.

Authors:  Fariba Eslamian; Bina Eftekharsadat; Arash Babaei-Ghazani; Fateme Jahanjoo; Mojgan Zeinali
Journal:  J Clin Neurophysiol       Date:  2017-03       Impact factor: 2.177

3.  Comparison Between Effectiveness of Ultrasound-Guided Corticosteroid Injection Above Versus Below the Median Nerve in Mild to Moderate Carpal Tunnel Syndrome: A Randomized Controlled Trial.

Authors:  Arash Babaei-Ghazani; Nadere Nikbakht; Bijan Forogh; Gholam Reza Raissi; Tannaz Ahadi; Safoora Ebadi; Peyman Roomizadeh; Hamid Reza Fadavi; Seyed Ahmad Raeissadat; Bina Eftekharsadat
Journal:  Am J Phys Med Rehabil       Date:  2018-06       Impact factor: 2.159

4.  Effectiveness of ultrasound-guided carpal tunnel injection using in-plane ulnar approach: a prospective, randomized, single-blinded study.

Authors:  Jin Young Lee; Yongbum Park; Ki Deok Park; Ju Kang Lee; Oh Kyung Lim
Journal:  Medicine (Baltimore)       Date:  2014-12       Impact factor: 1.889

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

Authors:  Seyed Mansoor Rayegani; Seyed Ahmad Raeissadat; Mohammad Ahmadi-Dastgerdi; Nafise Bavaghar; Shahram Rahimi-Dehgolan
Journal:  J Pain Res       Date:  2019-10-24       Impact factor: 3.133

  5 in total

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