Median nerve injury from local steroid injection in carpal tunnel syndrome.

Abstract:

:Local steroid injections for symptomatic relief of carpal tunnel syndrome have become common in the evaluation and treatment of this disorder; yet reports of median nerve injection injury from this practice are rare. We present a case of nerve injury from a steroid injection in a 24-year-old man with carpal tunnel syndrome that was successfully treated by division of the transverse carpal ligament and neurolysis. The histopathological characteristics of the lesion are presented, and the pathogenesis and treatment of this injury are discussed. Means of avoiding this complication include careful attention to anatomic landmarks as well as to the patient's subjective response during injection and avoidance of the use of local anesthetics.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Linskey ME,Segal R

doi

10.1097/00006123-199003000-00021

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

512-5

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

26

pub_type

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