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The Journal of Bone and Joint Surgery, Vol 62, Issue 7 1181-1184, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting
RH Gelberman, D Aronson and MH Weisman
In order to define the role of steroid injection and splinting as a method
of treatment of carpal-tunnel syndrome, a prospective study was performed
on fifty hands in forty-one consecutive patients. All hands were treated
with a single injection and three weeks of splinting. Follow-up ranged from
a minimum of six months to a maximum of twenty-six months, with a mean of
eighteen months. All hands had characteristic symptoms of median-nerve
compression at the wrist and increased distal median motor latencies.
Eleven (22 percent) of fifty hands were completely free of symptoms at the
end of the follow-up period. Hands that initially had mild symptoms and
findings of less than one year's duration, normal sensibility, normal
thenar strength and mass, and one to two-millisecond prolongations of
either distal median motor or sensory latencies had the most satisfactory
responses to injections and splinting. Hands with severe symptoms of more
than one year's duration and findings of atrophy, weakness, and distal
motor latencies of more than six milliseconds or absent sensory responses
had the poorest response to injections and experienced a high rate of
relapse.
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