scholarly journals The effectiveness of corticosteroid injection and splint in diabetic de Quervain's tenosynovitis patients

Medicine ◽  
2021 ◽  
Vol 100 (35) ◽  
pp. e27067
Author(s):  
Betül Başar ◽  
Ahmet Aybar ◽  
Gökhan Basar ◽  
Hakan Başar
Keyword(s):  
Corticosteroid Injection ◽  
De Quervain’S Tenosynovitis

Outcome of Corticosteroid Injection in De Quervain's Tenosynovitis

2021 ◽  
Vol 15 (11) ◽  
pp. 3288-3292
Author(s):  
Wahid Bakhsh ◽  
Asad Ullah Jan ◽  
Muhammad Shafiq ◽  
Naveed Iqbal ◽  
Muzafar Hussain Buriro ◽  
...  
Keyword(s):  
Pain Score ◽  
Triamcinolone Acetonide ◽  
Corticosteroid Injection ◽  
Mean Value ◽  
Injection Pain ◽  
P Value ◽  
Duration Of Symptoms ◽  
De Quervain’S Tenosynovitis ◽  
Minimum Age ◽  
The Mean

Background: De Quervain's tenosynovitis is a painful and swollen stenosing tenosynovitis of the first dorsal compartment of the wrist. After analysing the patient's medical history and doing a physical examination, a diagnosis is made. Finkelstein's test is almost always positive. Objective: The goal of this study was to investigate the effectiveness of local corticosteroid injections in the treatment of de Quervain's tenosynovitis. Material & Methods: The study enrolled fifty patients with De Querven's Tenosynovitis. NSAIDs were provided orally and topically to all patients for an average of six weeks with no obvious improvement. Using a visual analogue scale, it was determined how much soreness would be felt in the first dorsal compartment and how much pain would be felt during the Finkelstein test. The edoema was removed by injecting a mixture of 1 mL (10 mg) triamcinolone-acetonide and 1 mL of 1% lidocain hydrochloride into the affected wrist's first dorsal compartment. They were subsequently examined every two weeks for twenty-four weeks. After a local triamcinolone acetonide injection, pain and discomfort on the radial side of the wrist were alleviated, and a negative Finkelstein test was done. Results: The mean age among the patients was 36.6 years with 12.4 SD. The maximum age was 60 years and the minimum age was 25 years old. The duration of symptoms in 4-8 weeks was observed, the mean value was 6 weeks with 1.4 as SD the minimum duration recorded was 4 weeks with 8 weeks as maximum duration. At the start of the week of appearance of symptoms the pain score was 6.44 with 1.6 as SD. The minimum pain score was 4 and maximum pain score was 8. Pain score at 4 weeks was 0.66 with 1.6 as SD. As per the independent t-test the p value was less than 0.05 so the test was significant statistically. Conclusion: One or two local steroid injections in the first dorsal compartment can give considerable pain and inflammation alleviation in people with de Quervain's tenosynovitis.

Corticosteroid injection for de Quervain's tenosynovitis in adults

2006 ◽  
Author(s):  
Cyriac Peters-Veluthamaningal ◽  
Daniëlle AWM van der Windt ◽  
Jan C Winters ◽  
Betty Meyboom- de Jong
Keyword(s):  
Corticosteroid Injection ◽  
De Quervain’S Tenosynovitis

scholarly journals COMPARISON OF EFFICACY OF INJECTABLE STEROIDS VERSUS CONSERVATIVE MANAGEMENT FOR DE QUERVAINS’S TENOSYNOVITIS

2021 ◽  
Vol 12 (3) ◽  
pp. 217-221
Author(s):  
Nasim Ilyas ◽  
Fouzia Hanif ◽  
Rajesh Kumar Panjwani ◽  
Sheikh Kashif Rahim ◽  
Asma Abdul Qadeer ◽  
...  
Keyword(s):  
Conservative Management ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Post Intervention ◽  
De Quervain’S Tenosynovitis ◽  
Management Group ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B

BACKGROUND & OBJECTIVE: De Quervain's tenosynovitis is tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons, occurs due to chronic overuse of the wrist and hand. To compare effectiveness of steroid injection with conservative management of De Quervains’s tenosynovitis. METHODOLOGY: Randomized prospective study was conducted at the various private orthopedic clinic across Rawalpindi district, along with collaboration of community medicine department, Rawal Institute of health sciences, Islamabad. The study population was divided into two groups, i.e., group A and group B. Group A was given inj. corticosteroid and group B was given conservative management. The severity of pain (Visual analogue scale) and Finkelstein test were recorded on baseline and after 3 weeks follow up. RESULTS: Our study included 96 diagnosed cases of de Quervains tenosynovitis on a positive Finkelstein test; 48 were given corticosteroid injection and 48 were conservatively treated. The mean age in corticosteroid’s injection group was 34.76+6.95 years whereas the mean age in conservative management group was 31.7+8.91 years. Post-intervention 13, 29 patients had a positive Finkelstein test in corticosteroid and conservative groups respectively. Although the difference in pre intervention pain score between the two groups was not statistically significant but significantly lesser pain scores in the corticosteroid group; (p= 0.00). CONCLUSION: Steroid injection produced better results in terms of relief in pain and negative Finkelstein test as compared to conservative treatment.

scholarly journals Physiotherapy vs Corticosteroid Injection as a First Line Conservative Treatment for De Quervain's Tenosynovitis

2020 ◽  
Vol 08 (04) ◽  
pp. 1086-1089
Author(s):  
Mohammad Al-bakheet ◽  
Rad Jaradat ◽  
Rania Khresat ◽  
Samer Al boun ◽  
Baraah Alshagoor ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Corticosteroid Injection ◽  
First Line ◽  
De Quervain’S Tenosynovitis

The Radial Synergy Test: An Aid to Diagnose de Quervain’s Tenosynovitis

Hand ◽  
2021 ◽  
pp. 155894472110572
Author(s):  
Chihua Lee ◽  
Phillip N. Langford ◽  
Graham E. Sullivan ◽  
Matthew A. Langford ◽  
Christopher J. Hogan ◽  
...  
Keyword(s):  
Corticosteroid Injection ◽  
Retrospective Chart Review ◽  
High Specificity ◽  
Diagnostic Study ◽  
Level Of Evidence ◽  
De Quervain’S Tenosynovitis ◽  
Asymptomatic Patients ◽  
Level Ii ◽  
Sensitivity Evaluation ◽  
Synergy Test

Background: Diagnosis of de Quervain’s tenosynovitis is made clinically. Finkelstein’s and Eichoff’s tests are commonly utilized examination maneuvers. Their specificity has been questioned due to a propensity to provoke pain in asymptomatic patients. Using the principle of synergism, the novel radial synergy test takes advantage of isometric contraction of the first dorsal compartment with resisted abduction of the small finger. Methods: Electromyography was performed on 3 authors and the first dorsal compartment sampled during the maneuver. Sensitivity evaluation was performed via retrospective chart review for patients diagnosed with de Quervain’s from 2013 to 2018. Inclusion criteria were documented radial synergy test, Eichoff’s test, and ≥90% pain relief after lidocaine/corticosteroid injection. We enrolled 222 patients with 254 affected extremities. Specificity evaluation was performed via a prospective cohort of volunteers undergoing radial synergy and Eichoff’s tests. Inclusion criterion was lack of preexisting wrist pain. Score > 0 on Visual Analog Scale was considered positive. We enrolled 48 volunteers with 93 tested extremities. Results: Electromyography revealed positive recruitment of the first dorsal compartment. Sensitivity of the radial synergy test was inferior to Eichoff’s test (97% vs 91%, relative risk [RR] = 0.93 [95% confidence interval [CI] = 0.89-0.97], P < .01). Specificity of the radial synergy test was superior to Eichoff’s test (99% vs 74%, RR = 1.33 [95% CI = 1.18-1.51], P < .001). Conclusions: We describe and evaluate the radial synergy test, a novel examination maneuver to aid the diagnosis of de Quervain’s. This serves as an adjunct for future diagnostic evaluations with its high specificity. Level of Evidence: Level II, diagnostic study.

scholarly journals Impact of Corticosteroid Injection on The de Quervain’s Tenosynovitis

KYAMC Journal ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 88-91
Author(s):  
Taufiq Morshed ◽  
Mohammed Emran ◽  
Md Israt Hasan ◽  
Md Zahid Ferdous ◽  
Dibakar Sarkar ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Treatment Option ◽  
Corticosteroid Injection ◽  
Positive Sign ◽  
Injection Technique ◽  
Dash Score ◽  
De Quervain’S Tenosynovitis ◽  
Long Term Follow Up ◽  
Quick Dash

Background: de Quervain’s tenosynovitis may be caused by thickened extensor retinaculum which holds the tendon in position in wrist. There are both operative and non-operative treatments for the condition. Corticosteroid injection is a very good conservative treatment option. Objective: To see the outcome of corticosteroid Injection in the de Quervain’s Tenosynovitis. Materials and Methods: This was prospective interventional study conducted at the outpatient department of Kurmitola General Hospital during the period from January 2018 to December 2019. Total 71 patients with de Quervain’s tenosynovitis were analyzed. Secondary outcomes were measured by Visual Analogue Scale (VAS) and Quick Disabilities of Arm, Shoulder and Hand (DASH) score. Results: Among the 71 affected hands, 11 (16.22%) patients had recurred. Sixty (83.78%) patients had no positive sign or symptom after 6 months of follow-up. Average VAS before injection was 8.27±1.23. Post injection VAS was 0.82±1.49 at 1 month follow-up and 1.46±2.34 at 6 month follow-up which was improved significantly. Pre-injection average Quick DASH score was 77.33±13.59 which was reduced to 18.34±12.37 after 1 month and 22.97±17.28 after 6 months of follow-up. Conclusion: Single injection of triamcinolone with local anesthetic for the treatment of de Quervain’s disease was proved significant conservative treatment option though there were few complications and failed cases. We should pay more attention to long-term follow-up and proper injection technique. KYAMC Journal.2021;12(02): 88-91

scholarly journals Corticosteroid injection for de Quervain's tenosynovitis

2009 ◽  
Author(s):  
Cyriac Peters-Veluthamaningal ◽  
Daniëlle AWM van der Windt ◽  
Jan C Winters ◽  
Betty Meyboom-de Jong
Keyword(s):  
Corticosteroid Injection ◽  
De Quervain’S Tenosynovitis

Ultrasound-Guided Corticosteroid Injection for the Treatment of de Quervain’s Tenosynovitis

2013 ◽  
Vol 92 (7) ◽  
pp. 637-638 ◽  
Author(s):  
Luca Di Sante ◽  
Milvia Martino ◽  
Iole Manganiello ◽  
Lucrezia Tognolo ◽  
Valter Santilli
Keyword(s):  
Corticosteroid Injection ◽  
Ultrasound Guided ◽  
De Quervain’S Tenosynovitis

scholarly journals Are Plain X-Rays Necessary in the Diagnosis of De Quervain's Tenosynovitis?

2020 ◽  
Author(s):  
Tyler W. Henry ◽  
Jacob E. Tulipan ◽  
Pedro K. Beredjiklian ◽  
Jonas L. Matzon ◽  
Kevin F. Lutsky
Keyword(s):  
Chart Review ◽  
Corticosteroid Injection ◽  
Radiographic Finding ◽  
Common Finding ◽  
X Rays ◽  
Level Of Evidence ◽  
Radiographic Findings ◽  
Plain Radiographs ◽  
X Ray ◽  
De Quervain’S Tenosynovitis

Abstract Background The routine use of plain radiography represents a significant expenditure and has been proven unnecessary in several orthopedic conditions. The utility of plain radiographs in the diagnosis of De Quervain's tenosynovitis (DeQ) is not clear. Questions/Purpose This study evaluates whether plain radiographic findings routinely predict the need for surgery or alter treatment courses in the initial diagnosis of DeQ. Patients and Methods A total of 200 patients who received wrist X-rays and had a diagnosis of DeQ were retrospectively selected at random. Their images were evaluated for relevant findings, including radial styloid abnormalities, arthritis, and tendon calcification. A chart review was performed to determine whether these X-rays altered the treatment courses. Results Of the 200 patients, 141 (69.1%) cases had at least one positive radiographic finding. Carpometacarpal joint (CMC) arthritis was the most common finding, seen in 63 (30.9%) cases. Of all patients, 141 (69.1%) were treated with corticosteroid injection only, 54 (26.5%) with corticosteroid injection and ultimately surgery, and 9 (4.4%) with surgery alone. There were no significant differences in the rates of surgery with positive X-ray findings. There were no cases in which radiographic findings resulted in a change in management, per the report of the treating physician. Conclusions Despite the high proportion of positive findings on X-ray, no radiographic findings altered the course of treatment in patients with isolated DeQ. Obtaining plain radiographs for isolated DeQ represents a significant cost and should be reserved for cases in which the results are preemptively deemed likely to influence the treatment course. Level of Evidence This is a level IV study.

Sign in / Sign up

Export Citation Format

Share Document