De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

Sawaizumi, Takuya; Nanno, Mitsuhiko; Ito, Hiromoto

doi:10.1007/s00264-006-0165-0

Cited by 92 publications

(77 citation statements)

References 14 publications

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“…Meanwhile, several authors published anatomical variations of the first extensor compartment. The accurate injection of triamcinolone into the sheath of both the extensor pollicis brevis and abductor pollicis longus tendon was considered very effective for DD in a recent study [13]. According to Zingas [17], the extensor pollicis brevis compartment was often missed in injections.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of surgical release of de Quervain’s stenosing tenosynovitis

Scheller

Schuh

Hönle

et al. 2008

International Orthopaedics (SICOT)

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The management of de Quervain's disease (DD) is nonoperative in the first instance, but surgery should be considered if conservative measures fail. We present the long-term results of operative treatment of DD. From July 1988 to July 1998, 94 consecutive patients with DD were treated operatively by a single surgeon. There were 80 women and 14 men. Average age at the time of operation was 47.4 years (range 22-76). The right wrist was involved in 43 cases, the left in 51 cases. All operations were done under tourniquet control with local infiltration anaesthesia using a longitudinal incision and partial resection of the extensor ligament. There were six perioperative complications, including one superficial wound infection, one delayed wound healing, and four transient lesions of the radial nerve. A successful outcome was achieved in all cases with negative Finkelstein's test. Simple decompression of both tendons and partial resection of the extensor ligament with a maximum of 3 mm can be recommended in operative treatment of DD with excellent long-term results.

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Section: Discussionmentioning

confidence: 99%

Long-term results of surgical release of de Quervain’s stenosing tenosynovitis

Scheller

Schuh

Hönle

et al. 2008

International Orthopaedics (SICOT)

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“…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] . McDermott JD et al, reported in 2012 that at a follow up of 6 weeks, no complications were noted and 36 of the 37 wrist (97%).…”

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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“…These nonoperative modalities minimize repetitive loading of the first dorsal compartment Patient with de quervains tenosynovitis often complain of pain at the radial styloid, but this has to be differentiated from many other causes of pain like Wartenburg syndrome, cmc joint arthritis, C6 cervical radiculopathy, intersection syndrome, intercarpal instabilities, scaphoid fracture which all may produce a positive finkelsteins test 9 .The injection of steroid with local anaesthetic agent in the tendon sheath of the first dorsal compartment muscles is considered effective. 10 We recommend maximum of 2 trials of …”

Section: Discussionmentioning

confidence: 99%