Injeksi Kortikosteroid dengan Panduan USG untuk Terapi Carpal Tunnel Syndrome

Oleh :

Josephine Darmawan

Pada kasus carpal tunnel syndrome, injeksi kortikosteroid lokal dengan panduan USG atau ultrasonografi diduga dapat mengurangi risiko kesalahan injeksi bila dibandingkan dengan injeksi berdasarkan palpasi landmark anatomi saja. Berbagai studi kemudian dilakukan untuk membandingkan efektivitas dan keamanan kedua metode ini.

Carpal tunnel syndrome terjadi karena kompresi saraf median di dalam carpal tunnel atau terowongan karpal, yang dapat menyebabkan kerusakan saraf dan akumulasi sel inflamasi. Injeksi kortikosteroid secara lokal ke dalam terowongan karpal merupakan modalitas terapi yang sederhana dan mudah dilakukan, yakni dengan menggunakan acuan letak anatomi tendon palmaris longus.[1-3]

Prosedur injeksi intrakarpal ini dilaporkan bersifat sangat efektif bila dilakukan dengan tepat. Akan tetapi, prosedur ini juga memiliki risiko kerusakan tendon, kerusakan saraf, kurangnya efek terapeutik, dan butuhnya suntikan ulang dalam waktu singkat, terutama jika tindakan dilakukan dengan perkiraan anatomis secara kasat mata (blinded).[1,4,5]

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Referensi

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