title: EARLY RESPONSE OF LOCAL STEROID INJECTION VERSUS MINI INCISION TECHNIQUE IN TREATMENT OF CARPAL TUNNEL SYNDROME.
abstract: BACKGROUND
  Carpal tunnel syndrome (CTS) is one of the commonest peripheral neuropathies which effects mainly middle aged women. Different techniques are being tried to decrease the postoperative pain in patients operated for CTS. The objective of this study was to compare effectiveness of local injection of steroid and mini incision technique in the treatment of carpal tunnel syndrome.
  
  
  METHODS
  This randomized control trial was conducted at department of Orthopedics and department of Neurosurgery, Ayub Teaching Hospital, Abbottabad from Aug 2011 to Feb 2013. A total of 116 patients of CTS were randomly allocated to either of the two groups.58 Patient in Group A were subjected to local steroid injection and the same number of patient in Group B underwent mini incision technique. All patients of were advised to report to the OPD after one month to determine intervention effectiveness in terms of improvement in at least one grade of pain.
  
  
  RESULTS
  In this study mean age of the patients was 32.8 +/- 5.1 years. Female gender was in dominance with 99 (86.3%) cases. In this study we compared the effectiveness of local steroid injection and mini incision technique in the treatment of carpel tunnel syndrome. We found out that the steroid injection was effective in 69.0% cases while mini incision technique was effective in 56.9% cases. The difference being statistically insignificant with a p-value of 0.17.
  
  
  CONCLUSIONS
  The difference in pain after 1 month of the intervention was not statistically significant.
authors.forename: Abdus Saboor
authors.initials: AS
authors.lastname: Awan
authors.forename: Alamzeb
authors.initials: A
authors.lastname: Khan
authors.forename: Sikandar Aziz
authors.initials: SA
authors.lastname: Afridi
authors.forename: Inam Ullah
authors.initials: IU
authors.lastname: Khan
authors.forename: Sajid Nazir
authors.initials: SN
authors.lastname: Bhatti
authors.forename: Ehtisham
authors.initials: E
authors.lastname: Ahmed
authors.forename: Gul
authors.initials: G
authors.lastname: Muhammad
authors.forename: Rao Suhail
authors.initials: RS
authors.lastname: Khan
authors.forename: Shahid
authors.initials: S
authors.lastname: Sultan
authors.forename: Fahad Saqib
authors.initials: FS
authors.lastname: Lodhi
mesh_terms: D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids