Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

  • Ali Kumas (Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital) ;
  • Milly van de Warenburg (Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital) ;
  • Tinatin Natroshvili (Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital) ;
  • Marius Kemler (Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital) ;
  • Mahyar Foumani (Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital)
  • Received : 2022.12.25
  • Accepted : 2023.04.15
  • Published : 2023.07.15
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Abstract

Background Carpal tunnel syndrome can be treated with corticosteroid injections (CIs) and surgery. In this systematic review, the influence of previous CI on different postoperative outcomes after carpal tunnel release is evaluated. Methods A systematic literature search using several databases was performed to include studies that examined patients diagnosed with carpal tunnel syndrome who received preoperative or intraoperative CIs. Results Of 2,459 articles, 9 were eligible for inclusion. Four papers reported outcomes of preoperative and four outcomes of intraoperative CIs. One study evaluated patients who received both intraoperative and preoperative corticosteroids. Conclusion Intraoperative CIs are associated with reduced postoperative pain after carpal tunnel release and support earlier recovery of the hand function that can be objectified in a faster median nerve conduction speed recovery and lower Boston Carpal Tunnel Questionnaire (BCTQ) scores. Using preoperative CIs did not lead to enhanced recovery after carpal tunnel release, and both preoperative and intraoperative CIs might be predisposing factors for infections.

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References

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