Perineural Dextrose and Corticosteroid Injections for Ulnar Neuropathy at the Elbow: A Randomized Double-blind Trial.
Arch Phys Med Rehabil
; 101(8): 1296-1303, 2020 08.
Article
in En
| MEDLINE
| ID: mdl-32325164
ABSTRACT
OBJECTIVE:
To assess the effects of perineural corticosteroid and 5% dextrose water (D5W) injections in patients with mild to moderate ulnar neuropathy at the elbow (UNE).DESIGN:
Prospective, randomized, double-blind, controlled trial (6-month follow-up).SETTING:
Outpatients of local medical center settings.PARTICIPANTS:
Patients (N=36) with mild to moderate UNE were randomized, and 33 participants were included in the final data analysis.INTERVENTIONS:
Patients were administered a single perineural injection with 5 mL D5W and 3 mL corticosteroid (triamcinolone acetonide, 10mg/mL) mixed with 2 mL normal saline under ultrasound guidance in the dextrose and steroid groups, respectively. MAIN OUTCOMEMEASURES:
The visual analog scale digital pain or paresthesia/dysesthesia score was the primary outcome. The secondary outcomes were the Disabilities of the Arm, Shoulder, and Hand questionnaire, motor nerve conduction velocity, and cross-sectional area (CSA) of the ulnar nerve. The measurement assessment was conducted before and 1, 3, 4, and 6 months after injection.RESULTS:
Thirty-three patients completed the study. Both injections were found to be equally effective at most measurement points, although the dextrose group experienced larger reductions in symptom severity and CSA of the ulnar nerve from the third month onward.CONCLUSIONS:
We suggest D5W as a more suitable injectate for perineural injection in patients with UNE.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Triamcinolone Acetonide
/
Ulnar Neuropathies
/
Glucose
/
Anti-Inflammatory Agents
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Arch Phys Med Rehabil
Year:
2020
Document type:
Article
Affiliation country:
China