Elastic bandage vs. neoprene thumb stabilizer splint in acute De Quervain’s tenosynovitis

Jongprasitkul, Hathaya; Suputtitada, Areerat; Kitisomprayoonkul, Wasuwat; Pintawiruj, Kruawan

doi:10.5372/1905-7415.0502.035

Cited by 10 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 37 studies were initially found to be eligible. Of those, 7 studies did not include 1 of our predefined outcome measures or included patients with conditions other than DQT and did not analyze data separately and were therefore excluded (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 37 studies 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 were initially found to be eligible. Of those, 7 studies 9 , 10 , 11 , 12 , 13 , 14 , 15 did not include 1 of our predefined outcome measures or included patients with conditions other than DQT and did not analyze data separately and were therefore excluded ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Management of de Quervain Tenosynovitis

Challoumas,

Ramasubbu,

Rooney

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceThere is a plethora of treatment options for patients with de Quervain tenosynovitis (DQT), but there are limited data on their effectiveness and no definitive management guidelines.ObjectiveTo assess and compare the effectiveness associated with available treatment options for DQT to guide musculoskeletal practitioners and inform guidelines.Data SourcesMedline, Embase, PubMed, Cochrane Central, Scopus, OpenGrey.eu, and WorldCat.org were searched for published studies, and the World Health Organization International Clinical Trials Registry Platform, ClinicalTrials.gov, The European Union Clinical Trials Register, and the ISRCTN registry were searched for unpublished and ongoing studies from inception to August 2022.Study SelectionAll randomized clinical trials assessing the effectiveness of any intervention for the management of DQT.Data Extraction and SynthesisThis study was prospectively registered on PROSPERO and conducted and reported per Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions (PRISMA-NMA) and PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science (PERSIST) guidance. The Cochrane Risk of Bias tool and the Grading of Recommendations, Assessment, Development, and Evaluations tool were used for risk of bias and certainty of evidence assessment for each outcome.Main Outcomes and MeasuresPairwise and network meta-analyses were performed for patient-reported pain using a visual analogue scale (VAS) and for function using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale. Mean differences (MD) with their 95% CIs were calculated for the pairwise meta-analyses.ResultsA total of 30 studies with 1663 patients (mean [SD] age, 46 [7] years; 80% female) were included, of which 19 studies were included in quantitative analyses. From the pairwise meta-analyses, based on evidence of moderate certainty, adding thumb spica immobilization for 3 to 4 weeks to a corticosteroid injection (CSI) was associated with statistically but not clinically significant functional benefits in the short-term (MD, 10.5 [95% CI, 6.8-14.1] points) and mid-term (MD, 9.4 [95% CI, 7.0-11.9] points). In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. CSI with thumb spica immobilization had the highest probability of being the most effective intervention for short- and mid-term function.Conclusions and RelevanceThis network meta-analysis found that adding a short period of thumb spica immobilization to CSI was associated with statistically but not clinically significant short- and mid-term benefits. These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Management of de Quervain Tenosynovitis

Challoumas,

Ramasubbu,

Rooney

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

show abstract

“…All patients in both groups had some aggravating factor but relieving factors were less. It has been reported that 8.3% of patients present with upper extremity conditions as their chief complaint in chiropractic practices [12,13]. De Quervain's has also been shown to usually present in the fifth and sixth decades of life, as well as being more common in pregnant and lactating women.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Analgesic Effects of UST with NSAIDs and without NSAIDs in Patients with De Quervain’s Disease

Sadeque¹,

Ilias²,

Islam³

et al. 2020

SJAMS

View full text Add to dashboard Cite

“…It has been reported that 8.3% of patients present with upper extremity conditions as their chief complaint in chiropractic practices. 12,13 De Quervain's has also been shown to usually present in the fifth and sixth decades of life, as well as being more common in pregnant and lactating women. The medication included nonsteroidal Anti-inflammatory Drugs (NSAIDs) and analgesic, an injection of a steroid mixed with xylocaine into tendon sheaths.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Analgesic Effects of UST with NSAIDs and without NSAIDs in Patients with De Quervain’s Disease

Sadeque

Salek

Khan

et al. 2019

TAJ: J of Teachers Assoc

View full text Add to dashboard Cite

Background: De Quervain's disease has been described as an entrapment of the extensor pollicis brevis and abductor pollicis longus tendons in the first dorsal compartment of the wrist is a common cause of wrist and hand pain Treatment of the disease consists of pharmacological & non-pharmacological. The non-pharmacological includes immobilization, therapeutic heat and cold, electrical nerve stimulator, thumb stabilizer splint, postural correction at work and the adjustment of tools and equipment. This randomized clinical trial was performed to find out the effects of UST with NSAIDs and without NSAIDs in the patients of De Quervain’s disease. Methods: This randomized clinical trial was performed in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, over a period of six months. Group A-experimental or interventional group and group B-control group by randomization with the help of lottery. Experimental group was managed by activities of daily living (ADLs) instructions, ultrasound therapy (UST) with non-steroidal anti-inflammatory agents (NSAIDs gel), along with thumb spica splint. Control group B received previous management except non-steroidal anti-inflammatory agents (NSAIDs gel). All patients received therapeutic ultrasound in a same dosage (1 watt/ cm 2/min) for 8 minutes. An evaluation was made at initial visit and two weeks interval for 6 weeks. So, there were three follow up visits and these evaluations were performed by the same investigator. In each visit, measurement of pain intensity and disability level were performed by using visual analogue scale (VAS), Tenderness Index and Patient rated wrist evaluation (PRWE) respectively. All results was recorded systematically. A post intervention result was compared with baseline result by SPSS-20 Results: Out of 60 total patients 60(100%) had Finkelstein test positive. Significant difference between Group A and Group B was found at week 4 and Week 6 follow up (P<0.05) whereas other early follow up was non-significant in VAS analysis (p>0.05). Significant difference between Group A and Group B was found at week 4 and week 6 follow up (P<0.05) regarding change of tenderness and PRWE. Conclusion: Regarding treatment of De Quervain's disease, present study shown that UST with NSAIDs gel reduces the morbidity and relief of pain of patients when in comparison to other conventional treatment. TAJ 2019; 32(1): 25-32

show abstract

Elastic bandage vs. neoprene thumb stabilizer splint in acute De Quervain’s tenosynovitis

Cited by 10 publications

References 9 publications

Management of de Quervain Tenosynovitis

Management of de Quervain Tenosynovitis

Comparison of Analgesic Effects of UST with NSAIDs and without NSAIDs in Patients with De Quervain’s Disease

Comparison of Analgesic Effects of UST with NSAIDs and without NSAIDs in Patients with De Quervain’s Disease

Contact Info

Product

Resources

About