Sonographically guided hydrodissection and @entity228 injection for XXXX hand.

@entity1 @entity2995 @entity63 @entity1066 @entity228 @entity2631 @entity3303 @entity158 @entity923 @entity2553 @entity309 @entity2762 @entity2713
@entity2631 is associated with intractable hand @entity158 from @entity2553 , digital @entity63 , @entity2762 , and nerve entrapment. This study investigated the effect of hydrodissection of the @entity923 followed by @entity228 injection for the @entity158 hand. Twenty-six consecutive subjects [12 with @entity158 hand and 14 with @entity309 and @entity923 ( @entity309 /CTS)] underwent sonographically observed @entity923 hydrodissection with 3  ml of 1% @entity3303 administered with a 25-gauge 1-in. needle on a 3-ml RPD mechanical syringe (reciprocating procedure device). After hydrodissection, a syringe exchange was performed, and 80  mg of @entity2995 was injected. Baseline @entity158 , procedural @entity158 , @entity158 at outcome, responders, therapeutic duration, and reinjection interval were determined. Hydrodissection and injection with @entity228 significantly reduced @entity158 scores by 67% in @entity2631 (p   <   0.001) and by 47% in @entity309 /CT (p   <   0.001). @entity2631 and @entity309 /CTS were similar in outcome measures: injection @entity158 (p   =   0.47), @entity158 scores at outcome (p   =   0.13), responders ( @entity2631 , 83.3%; @entity309 /CTS, 57.1%, p   =   0.15), @entity158 at 6  months (p   =   0.15), and therapeutic duration (p   =   0.07). @entity2631 @entity1 responded better in time to next injection ( @entity2631 , 8.5        3.0 months; @entity309 /CTS, 5.2        3.1 months, p   =   0.03). Reduced Raynaud's attacks and healing of digital @entity1066 occurred in 83% of subjects. There were no complications. Hydrodissection with @entity3303 followed by injection of @entity2713 reduces @entity158 and vasomotor changes in the @entity2631 hand. The mechanism may be a combination of hydrodissection-mediated mechanical freeing of entrapped arteries, nerves, and tendinous structures and @entity228 -induced @entity2553 .
