The Comparison of the Result between Carpal Tunnel Syndrome Released alone and Carpal Tunnel Syndrome Released with Steroid (Kenacort

Abstract

    The purpose of this study to identify that steroid (kenacort) had decreased the complication and increase the effectiveness of the carpal tunnel syndrome released by compared in two group between the result of carpal tunnel released alone and carpal tunnel released with supplement  the steroid direct to the nerve after released about 2.5 mg.

    Method : This study is prospective study by sampling the patients with purposive sampling and study designed by experimental controlled trial. The subject was the patients at OPD cases during January 2006 to December 2007 about 45 patients.

    This study compared the result of all patients by one surgeon in to two group. Group A :the patients who had treated carpal tunnel by released alone. Group B: the patients who had the treated carpal tunnel by released and supplied kenacort direct to nerve about 2.5 mg. Then the 5 factors of study between group A and group B were compared.

1. Pain by VAS Score.

2. The numbness by two point discrimination tests.

3. Pillar pain (number of the patients).

4. Stiffness of finger (number of the patients).

5. Infection rate (number of the patients).

    Result : 45 patients was eligible for study, 5 factors was evaluated. The pain (VAS Score) was decrease significant at 2 weeks after surgery in group B more than group A at p=0.01. But there was non  significant by statistic at 6 and 12 weeks.

    The numbness was decrease significant by statistic at 2, 6 and 12 weeks after surgery in group B more than group A. The number of the  patients who had stiffness of fingers in the group B was smaller than group at 2 weeks significant by statistic at p=0.015 but at 6 and 12 week there was non significant . The number of the patients who had pillar pain between both group at 2, 6 and 12 weeks there was no difference. There was no different of infection rate between two groups.