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Hydrocortisone Injections for Carpal Tunnel Syndrome

Cambridge

The effects of local hydrocortisone acetate injections in patients with a carpal tunnel syndrome are reported. In a prospective study of sixty one wrists injected, fifty five (90%) had initial symptomatic relief. At review after one year forty one wrists had relapsed (67%) requiring decompression.

In view of the poor long term response to injection it was decided to test the accuracy of the siting technique in a separate consecutive series of twenty six wrists at operation. The needle was found to be correctly sited in twenty four wrists (92%).

It is suggested that, as initially considerable symptomatic relief can be achieved, the principal value of steroid injections lies as a palliative remedy whilst decompression is awaited.

The Hand, Original Series, Volume 12, No. 1, 62-64 (1980)
DOI: 10.1016/S0072-968X(80)80031-3


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