In a recent large series of tendon sheath syndrome, Brown reported only five cases of the pure acquired type that were not intermittent and in which the patients did not undergo spontaneous recovery. The origin of acquired Brown's syndrome is varied and includes trauma of the orbit, direct trochlear trauma, orbital or muscle surgery, frontal sinusitis or sinus surgery, and inflammation of the superior oblique tendon and sheath, namely a stenosing tenosynovitis. The differential diagnosis and possible causes of the acquired Brown's syndrome were reviewed, and two cases of presumptive tenosynovitis of the superior oblique tendon and sheath are presented in detail. In both cases, the condition of each patient was notably improved by a series of direct injections of methylprednisolone acetate into the trochlear region. This form of treatment for acquired Brown's syndrome of inflammatory origin has never, to my knowledge, been reported in the literature.
Aims: Carpal tunnel syndrome (CTS) is the most common compression neuropathy of the median nerve at the wrist. The aim of this study is to evaluate the clinical and electrophysiological efficacy of phonophoresis in comparison to local corticostreoid injections in patients with moderate CTS.
Material and methods: 36 patients were recruited in this prospective clinical study. The patients were randomized in two groups. In group-A, the patients were treated with corticosteroid phonophoresis for 10 min/3 times a week for three weeks. In group-B, the patients were treated with local betametazone injections at the carpal tunnel. All of the patients in the groups were given night splints in neutral position. Boston Symptom Severity Scale (BSSS) was used to evaluate the symptoms of the patients. Grip strength was detected by Jamar hand dynamometer and a pinchmeter was used to measure lateral, palmar and tip pinch strength. The patients were evaluated before treatment and at the 3rd months.
Results: The BSSS scores improved in each group in comparison to 3rd month results (p