Comparison of nonsurgical treatment measures for de Quervain's disease of pregnancy and lactation

Avcı, Sinan; Yılmaz, Caner; Şaylı, Uğur

doi:10.1053/jhsu.2002.32084

Cited by 121 publications

(79 citation statements)

References 6 publications

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“…It has an incidence of approximately 0.94 to 6.3 per 1000 person-years [15,20] and more frequently affects women, older individuals, and African-Americans [20]. It is associated with pregnancy and lactation [2].…”

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confidence: 99%

Sonographic Identification of the Intracompartmental Septum in de Quervain's Disease

Kwon

Choi

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background The intracompartmental septum in the first extensor compartment in patients with de Quervain's disease has been associated with disease development and prognosis. However, with the exception of surgical exploration, there is no way of detecting the septum. Questions/Purposes We evaluated the accuracy of sonography for identifying the intracompartmental septum in the first extensor compartment in patients with de Quervain's disease using surgical findings as the reference standard. Patients and Methods We performed surgical release of the first extensor compartment in 43 wrists of 40 patients who were unresponsive to nonoperative treatment. In each case, a sonographic evaluation was performed before surgery by a radiologist and the sonographic and surgical findings were compared. Results Sonography identified the intracompartmental septum in 19 of the 19 septum-present wrists and absence of the septum in 23 of the 24 septum-absent wrists. The sensitivity of sonography was 100% (95% confidence interval, 80%-100%), its specificity 96% (95% confidence interval, 78%-100%), accuracy 98% (95% confidence interval, 87%-100%), positive predictive value 95% (95% confidence interval, 74%-100%), and negative predictive value 100% (95% confidence interval, 83%-100%). Sonography also identified septum-like structures in 15 of 37 (41%) asymptomatic contralateral wrists.

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confidence: 99%

Sonographic Identification of the Intracompartmental Septum in de Quervain's Disease

Kwon

Choi

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…1 De Quervain's tenosynovitis has also been noted in pregnant and lactating women, with a similar clinical presentation that is generally self limited. 4 The incidence of de Quervain's tenosynovitis is not well known. The primary sources of data on this problem are derived from studies on upper extremity disorders in industry.…”

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confidence: 99%

Incidence of de Quervain's Tenosynovitis in a Young, Active Population

Wolf

Sturdivant

Owens

2009

The Journal of Hand Surgery

124

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“…Avci et al claimed 100% success rate. 15 Takuya Sawaizumi, 2007 claimed 94% success rate in their study in which they locally injected Triamcinolone for patients with De Quervain's disease. He concluded 90% of patients were fully satisfied, relapse was seen in 26% of patients, and complications were seen in 32% [16] .…”

Section: Discussionmentioning

confidence: 99%

The efficacy of local steroid injection versus conservative management in Dequervain’s disease: A prospective randomised study

Ashok¹,

Js²,

Mittal³

et al. 2018

Int. J. Orthop. Sci.

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De Quervain's tenosynovitis is a painful condition of the wrist which leads to difficulties in performing activities of daily living. Aim of the study is to examine the effectiveness of steroid injection therapy as compared to splinting and analgesics for treatment of de Quervain's tenosynovitis in adults. In (Group 1) the conservative group, patients were advised a splint and NSAIDS. In (Group 2) steroid group, patients were given injection of triamcinolone mixed with 2% xylocaine into the sheath of the affected tendons, under aseptic conditions. We found that steroid injection group showed 83.33% excellent results compared to only 36.67% in conservative group. We conclude that steroid injection is an effective form of conservative management for de Quervain's disease.

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Comparison of nonsurgical treatment measures for de Quervain's disease of pregnancy and lactation

Cited by 121 publications

References 6 publications

Sonographic Identification of the Intracompartmental Septum in de Quervain's Disease

Sonographic Identification of the Intracompartmental Septum in de Quervain's Disease

Incidence of de Quervain's Tenosynovitis in a Young, Active Population

The efficacy of local steroid injection versus conservative management in Dequervain’s disease: A prospective randomised study

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