Association between de Quervain syndrome and herpes zoster: a population-based cohort study

ObjectiveBoth physical diseases such as infection and chronic pain and psychological disorders such as depression have been associated with herpes zoster (HZ) reactivation. However, the relationship between de Quervain syndrome (DQS), a painful tenosynovitis and HZ remains unclear. We investigated whether DQS increases the risk of HZ reactivation.DesignA retrospective population-based cohort study.SettingTaiwan.ParticipantsWe used a subset of Taiwan’s National Health Insurance Research Database, the Longitudinal Health Insurance Database which contains the registration files and original claims data of 1 million randomly selected individuals from the National Health Insurance programme. The case group in this study comprised patients newly diagnosed with DQS between 2000 and 2012. Individuals without DQS comprised the control group. Cases and controls were 1:1 matched by age, sex and index year (defined as the year of DQS diagnosis).ResultsApproximately 55% of the participants were ≤49 years. Most participants were women (77%). The incidence rate of HZ in the DQS group was 8.39 per 1000 person years. After adjustments for age, sex and comorbidities, patients with DQS had a 1.30 times higher risk of HZ reactivation than the control group. Stratification analysis revealed taht DQS increases the HZ risk in individuals ≤64 years, women, and patients without comorbidities.ConclusionDQS is associated with an increased risk of HZ. Clinicians should be aware of this risk when dealing with patients with DQS, particularly in young adults.

Gambaran Pemberian Terapi Latihan Dalam Peningkatan Kemampuan Fungsional Tangan Pada De Quervain Syndrome: Literatur Review

Body part have an important role in various activities, excess activity can cause disturbance. Musculoskeletas disorder that commonly occur due to continuous activity are tendinitis, bursitis and tenosinovitys. De Quervain Syndrome is a tendinitis disorder caused by inflammation of the tendon sheath of the muscle in the m.abductor policis longus and m. Extensor policis brevis due to thickening of the extensor retinaculum, an important role of physiotherapy in the rehabilitation of movement disorder, namely use of modalities. The purpose of tis study is te see the description of the provision of exercise terapy in improving the functional ability of the hands in the case of De Quervain Syndrome. The method in this research design uses a literature review analysis wit the PICO method with a database seachr method through PUBMED, Z-Library and Google schoolar, five articles are reviewed. The test results of increasing functional ability in patients with De Quervain Syndrome showed that there was a significant effect of exercise therapy intervention with a mean value before the action of 50,5 and the mean value after of 26,8 the difference in ability improvement was 23,7. Health woekers can improve physiotherapy in patients with De Quervain Syndrome to improve te functional ability of the hand.Keywords: De Quervain syndrome, Exercise therapy, Disabilities Of The Arm, Shoulder And Hand (DASH) AbstrakBagian tubuh memiliki peran penting dalam berbagai aktivitas, aktivitas berlebih dapat menyebabkan gangguan. Gangguan Muskuloskeletal yang umum terjadi akibat aktifitas secara terus menerus yaitu Tendinitis, bursitis dan tenosinivitys. De quervain Syndrome merupakan salah satu gangguan tendinitis yang disebabkan oleh peradangan selubung tendon otot pada m. abduktor policis longus dan m. Ekstensor policis brevis akibat penebalan pada ekstensor retinaculum, peran penting fisioterapi dalam rehabilitasi gangguan fungsi gerak tubuh yaitu penggunaan modalitas. Tujuan penelitian ini melihat gambaran pemberian terapi latihan dalam meningkatkan kemampuan fungsional tangan pada kasus De Quervain Syndrome. Metode dalam desain penelitian ini menggunakan analisis literatur review dengan metode PICO dengan metode penelusuran database melalui PUBMED, Z-Library dan Google Scholar diperoleh lima artikel yang direview. Hasil uji peningkatan kemampuan fungsional pada pasien De quervain Syndrome menunjukan ada pengaruh signifikan intervensi terapi latihan dengan nilai mean sebelum tindakan 50,5 dan nilai mean setelah dilakukan 26,8 selisih peningkatan kemampuan 23,7. Tenaga Kesehatan dapat meningkatkan Fisioterapi pada penderita De Quervain Syndrome untuk meningkatkan kemampuan fungsional tangan.Kata kunci: De quervain syndrome, Terapi latihan, Disabilities Of The Arm, Shoulder And Hand (DASH)

Comparison of intralesional corticosteroid injection with and without thumb Spica cast for de-Quervain tenosynovitis.

Objective: To compare efficacy of methyl prednisolone acetate injection with and without thumb spica cast for the treatment of de-Quervain tenosynovitis. Study Design: Randomized Controlled Trial. Setting: Orthopedic Unit, Allied Hospital, Faisalabad. Period: April 2016 to September 2016. Material & Methods: In each group 41 patients were included with non-probability consecutive sampling. Results: Eighty two patients were enrolled in the study. Out of 82 patients in the study, 3 (3.7%) were males and 79 (96.3%) were females. There were 10 (12.20%) pateints with age >40 years, and 36 (43.90%) patient in each of age group 21-30 and 31-40 years. The proportions of cured persons between two groups i.e., treated with corticosteroid injection and those treated with combination of injection and thumb Spica splint were found same with p-value 0.19 for Z=1.31. The efficacy was independent of treatment methods with χ2=1.10 (p-value = 0.30). The same independence pattern was also observed in different age groups. Age range was between 18 and 70 years. Statistical analysis was performed using chi-square test. Six weeks following treatment, 29 (35.37%) patients from group A and 34 (41.46%) patients from group B showed relief of pain, swelling and tenderness and a negative Finkelstein test (p-value 0.295). post stratification of gender showed no significant association (p-value 0.388 and 0.328 in groups A and B respectively). Conclusion: It has been concluded that use of corticosteroid injection alone is sufficient to treat de-Quervain syndrome as compared to the use of thumb Spica splint with corticosteroid injection. It is therefore recommended that in patients suffering from de-Quervain syndrome, corticosteroid injection may be the choice of treatment.