Comparison of open surgery versus ultrasound guided median nerve hydrodissection with Triamcinolone acetonide in treatment of carpal tunnel syndrome

Abstract Introduction: One of the treatments for carpal tunnel syndrome (CTS) is open surgery. Using the median nerve release technique with the help of normal saline under guided sonography with steroid injection is also possible. Due to the limited studies and the uncertainty of the results, this study aimed to compare these methods.Methods: A single-blind randomized clinical trial was performed on two groups of patients with carpal tunnel syndrome. Forty patients with moderate to severe CTS were randomly divided into two groups of ۲۰ people. One group underwent open Phalen surgery, and ultrasound-guided median nerve hydro dissection with Triamcinolone Acetonide was used for the other group. We used the Boston questionnaire scale to measure the severity.Results: Symptom severity and performance were significantly improved before and after intervention (p˂۰.۰۰۱ for all). No statistically significant difference was found between the severity of symptoms and the performance of patients in both groups (p = ۰.۷۳) (p = ۰.۳۸). Also, age and gender had no significant effect on the severity of symptoms and function at different time intervals (P>۰.۰۵ for all).Conclusion: The study results showed that the ultrasound-guided median nerve hydro dissection with Triamcinolone acetonide and open surgery have similar effects. It can be recommended as a suitable alternative to open surgery.Keywords: Carpal Tunnel Syndrome, Injection, Surgery, Ultrasound-guidanceAbstract Introduction: One of the treatments for carpal tunnel syndrome (CTS) is open surgery. Using the median nerve release technique with the help of normal saline under guided sonography with steroid injection is also possible. Due to the limited studies and the uncertainty of the results, this study aimed to compare these methods. Methods: A single-blind randomized clinical trial was performed on two groups of patients with carpal tunnel syndrome. Forty patients with moderate to severe CTS were randomly divided into two groups of ۲۰ people. One group underwent open Phalen surgery, and ultrasound-guided median nerve hydro dissection with Triamcinolone Acetonide was used for the other group. We used the Boston questionnaire scale to measure the severity. Results: Symptom severity and performance were significantly improved before and after intervention (p˂۰.۰۰۱ for all). No statistically significant difference was found between the severity of symptoms and the performance of patients in both groups (p = ۰.۷۳) (p = ۰.۳۸). Also, age and gender had no significant effect on the severity of symptoms and function at different time intervals (P>۰.۰۵ for all). Conclusion: The study results showed that the ultrasound-guided median nerve hydro dissection with Triamcinolone acetonide and open surgery have similar effects. It can be recommended as a suitable alternative to open surgery. Keywords: Carpal Tunnel Syndrome, Injection, Surgery, Ultrasound-guidance

کلیدواژه ها:

Carpal Tunnel Syndrome ، Injection ، Surgery ، Ultrasound-guidance