Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Objective: To review the literature and assess the comparative effectiveness of ultrasound-guided versus landmark-guided local corticosteroid injections in patients with carpal tunnel syndrome (CTS). Data Sources: Cochrane Central Register of Controlled Trials, MEDLINE (PubMed), Embase (Ovid), and W...
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ftiranunivms:oai:eprints.iums.ac.ir:5912 2023-05-15T16:01:49+02:00 Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Babaei-Ghazani, A. Roomizadeh, P. Forogh, B. Moeini-Taba, S.-M. Abedini, A. Kadkhodaie, M. Jahanjoo, F. Eftekharsadat, B. 2018 http://eprints.iums.ac.ir/5912/ https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034438712&doi=10.1016%2fj.apmr.2017.08.484&partnerID=40&md5=1b71cf140a7e797fbf4d4121ed41dac1 unknown Babaei-Ghazani, A. and Roomizadeh, P. and Forogh, B. and Moeini-Taba, S.-M. and Abedini, A. and Kadkhodaie, M. and Jahanjoo, F. and Eftekharsadat, B. (2018) Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 99 (4). pp. 766-775. WB Practice of Medicine WE Musculoskeletal System Article PeerReviewed 2018 ftiranunivms 2023-02-06T18:00:10Z Objective: To review the literature and assess the comparative effectiveness of ultrasound-guided versus landmark-guided local corticosteroid injections in patients with carpal tunnel syndrome (CTS). Data Sources: Cochrane Central Register of Controlled Trials, MEDLINE (PubMed), Embase (Ovid), and Web of Science (from inception to February 1, 2017). Study Selection: Randomized controlled trials (RCTs) comparing ultrasound-guided injection with landmark-guided injection in patients with CTS were included. Data Extraction: Two authors independently screened abstracts and full texts. The outcomes of interest were Symptom Severity Scale (SSS) and Functional Status Scale (FSS) scores of the Boston Carpal Tunnel Questionnaire and 4 electrodiagnostic parameters, including compound muscle action potential (CMAP), sensory nerve action potential (SNAP), distal motor latency (DML), and distal sensory latency (DSL). Data Synthesis: Overall, 569 abstracts were retrieved and checked for eligibility; finally, 3 RCTs were included (181 injected hands). Pooled analysis showed that ultrasound-guided injection was more effective in SSS improvement (mean difference MD, �.46; 95% confidence interval CI, �.59 to �.32; P<.00001), whereas no significant difference was observed between the 2 methods in terms of the FSS (MD, �.25; 95% CI, �.56 to.05; P=.10). There were also no statistically significant differences in improvements of CMAP (MD, 1.54; 95% CI, 0.01 to 3.07; P=.05), SNAP (MD, �0.02; 95% CI, �6.27 to 6.23; P>.99), DML (MD,.05; 95% CI, �.30 to.39; P=.80), or DSL (MD,.00; 95% CI, �.65 to.65; P>.99). Conclusions: This review suggested that ultrasound-guided injection was more effective than landmark-guided injection in symptom severity improvement in patients with CTS; however, no significant differences were observed in functional status or electrodiagnostic improvements between the 2 methods. © 2017 American Congress of Rehabilitation Medicine Article in Journal/Newspaper DML eprints Iran University of Medical Sciences |
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eprints Iran University of Medical Sciences |
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ftiranunivms |
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WB Practice of Medicine WE Musculoskeletal System |
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WB Practice of Medicine WE Musculoskeletal System Babaei-Ghazani, A. Roomizadeh, P. Forogh, B. Moeini-Taba, S.-M. Abedini, A. Kadkhodaie, M. Jahanjoo, F. Eftekharsadat, B. Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
topic_facet |
WB Practice of Medicine WE Musculoskeletal System |
description |
Objective: To review the literature and assess the comparative effectiveness of ultrasound-guided versus landmark-guided local corticosteroid injections in patients with carpal tunnel syndrome (CTS). Data Sources: Cochrane Central Register of Controlled Trials, MEDLINE (PubMed), Embase (Ovid), and Web of Science (from inception to February 1, 2017). Study Selection: Randomized controlled trials (RCTs) comparing ultrasound-guided injection with landmark-guided injection in patients with CTS were included. Data Extraction: Two authors independently screened abstracts and full texts. The outcomes of interest were Symptom Severity Scale (SSS) and Functional Status Scale (FSS) scores of the Boston Carpal Tunnel Questionnaire and 4 electrodiagnostic parameters, including compound muscle action potential (CMAP), sensory nerve action potential (SNAP), distal motor latency (DML), and distal sensory latency (DSL). Data Synthesis: Overall, 569 abstracts were retrieved and checked for eligibility; finally, 3 RCTs were included (181 injected hands). Pooled analysis showed that ultrasound-guided injection was more effective in SSS improvement (mean difference MD, �.46; 95% confidence interval CI, �.59 to �.32; P<.00001), whereas no significant difference was observed between the 2 methods in terms of the FSS (MD, �.25; 95% CI, �.56 to.05; P=.10). There were also no statistically significant differences in improvements of CMAP (MD, 1.54; 95% CI, 0.01 to 3.07; P=.05), SNAP (MD, �0.02; 95% CI, �6.27 to 6.23; P>.99), DML (MD,.05; 95% CI, �.30 to.39; P=.80), or DSL (MD,.00; 95% CI, �.65 to.65; P>.99). Conclusions: This review suggested that ultrasound-guided injection was more effective than landmark-guided injection in symptom severity improvement in patients with CTS; however, no significant differences were observed in functional status or electrodiagnostic improvements between the 2 methods. © 2017 American Congress of Rehabilitation Medicine |
format |
Article in Journal/Newspaper |
author |
Babaei-Ghazani, A. Roomizadeh, P. Forogh, B. Moeini-Taba, S.-M. Abedini, A. Kadkhodaie, M. Jahanjoo, F. Eftekharsadat, B. |
author_facet |
Babaei-Ghazani, A. Roomizadeh, P. Forogh, B. Moeini-Taba, S.-M. Abedini, A. Kadkhodaie, M. Jahanjoo, F. Eftekharsadat, B. |
author_sort |
Babaei-Ghazani, A. |
title |
Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
title_short |
Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
title_full |
Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
title_fullStr |
Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
title_full_unstemmed |
Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
title_sort |
ultrasound-guided versus landmark-guided local corticosteroid injection for carpal tunnel syndrome: a systematic review and meta-analysis of randomized controlled trials |
publishDate |
2018 |
url |
http://eprints.iums.ac.ir/5912/ https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034438712&doi=10.1016%2fj.apmr.2017.08.484&partnerID=40&md5=1b71cf140a7e797fbf4d4121ed41dac1 |
genre |
DML |
genre_facet |
DML |
op_relation |
Babaei-Ghazani, A. and Roomizadeh, P. and Forogh, B. and Moeini-Taba, S.-M. and Abedini, A. and Kadkhodaie, M. and Jahanjoo, F. and Eftekharsadat, B. (2018) Ultrasound-Guided Versus Landmark-Guided Local Corticosteroid Injection for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 99 (4). pp. 766-775. |
_version_ |
1766397535051579392 |