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Better 6-week result in carpal tunnel syndrome treatment with steroid injection vs. night splinting
March 2019
Better 6-week result in carpal tunnel syndrome treatment with steroid injection vs. night splinting
Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:N/A
The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial
Lancet. 2018 Oct 20;392(10156):1423-1433. doi: 10.1016/S0140-6736(18)31572-1Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
234 patients with carpal tunnel syndrome were randomized to a single injection of 20mg methylprednisolone acetate or 6 weeks of nightly splinting. Patients were assessed primarily for outcomes on the Boston Carpal Tunnel Questionnaire at 6 weeks and 6 months. In addition, cost-utility analysis was performed. Results for the BCTQ Symptom Severity Score and Functional Status Score significantly favo...
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