Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease: A systematic review and meta-analysis

Cavaleri, Rocco; Schabrun, Siobhan M; Te, Maxine; Chipchase, Lucinda S

doi:10.1016/j.jht.2015.10.004

Cited by 36 publications

(20 citation statements)

References 38 publications

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“…However, Cavaleri et al [17] in an earlier review of six studies confirmed combined orthosis/corticosteroid injection approaches are more effective than either intervention alone. It was found that significantly more participants were treated successfully when combined orthosis/corticosteroid injection approaches were compared to (i) orthoses (RR 0.53, 95% CI 0.35-0.80) and (ii) injections alone (RR 0.76, 95% CI 0.64-0.89).…”

Section: Corticosteroid Injection (Csi)/csi + Splint For Dqtmentioning

confidence: 99%

De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment

Mak¹

2019

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De Quervain's tenosynovitis (DQT) is a repetitive stress condition located at the first dorsal compartment of the wrist at the radial styloid. The extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons and each tendon sheath are inflamed and this may result in thickening of the first dorsal extensor sheath. Workers who perform repetitive activities of the wrist and hand and those who routinely use their thumbs in grasping and pinching motions in a repetitive manner are most susceptible to DQT. Conservative treatments include activity modification, modalities, orthotics, and manual therapy. This chapter identifies, in an evidence base manner through the literature, the most effective diagnostic measures for DQT. It also examines the evidence base on (or lack thereof) the treatment or treatment combinations to reduce pain and improve functional outcomes for patients with DQT.

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Section: Corticosteroid Injection (Csi)/csi + Splint For Dqtmentioning

confidence: 99%

De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment

Mak¹

2019

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“…Histopathology may also show signs of chronic overuse within the tendon substance resulting in myxoid degeneration. 5 Many studies have looked at anatomical variations and at the prevalence of an intercompartmental septum within the first dorsal compartment. The prevalence of a septum ranges from 24% to 91% in the literature.…”

Section: Pathophysiologymentioning

confidence: 99%

“…1,6 Those with an unidentified septum will not respond as well to corticosteroid injections 1,6 because only one compartment tends to be injected. 5 Those with a septum will need both compartments surgically released; therefore, it is important to identify the septum pre-operatively. 7…”

Section: Pathophysiologymentioning

confidence: 99%

‘The side of my wrist hurts’: De Quervain’s tenosynovitis

Allbrook¹

2019

Aust J Gen Pract

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“…However, recent meta-analyses of treatment effects have come to the consensus that the combined use of an appropriate orthosis with hand therapy leads to better treatment outcomes than steroid injections alone. [4][5][6] In our previous research, conservative treatment involving fixation of the affected site with an orthosis has proven effective for immediate reduction of acute pain during the perinatal period in patients with de Quervain's disease, with subsequent continued use resulting in longterm pain relief. 7 However, there have also been some refractory cases who responded poorly to conservative treatment and for whom it was difficult to achieve pain relief through fixation with a conventional thumb spica orthosis alone ( Fig.…”

Section: Introductionmentioning

confidence: 99%

Analysing orthotic designs for de Quervain's disease based on in vivo gliding distance of extensor pollicis brevis tendon

Ishii

Sairyo

2018

International Journal of Therapy and Rehabilitation

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Background/Aims: To reconsider orthotic designs used for de Quervain's disease based on in vivo information obtained from ultrasound images. Methods: The hands (n=40) of 20 healthy adult men and women participants with no history of thumb injury or deformation were examined. A two-dimensional tissue tracking system was used to quantitatively measure in vivo gliding distance in the extensor pollicis brevis tendon during thumb interphalangeal joint autonomic movement while wearing a thumb spica orthosis. Findings: Results revealed anatomical variations in the insertion of the extensor pollicis brevis tendon in 9 (22.5%) hands. A septum was noted in the first dorsal compartment of the extensor tendon in 23 (57.5%) hands. Multiple comparison testing of gliding distance across four groups, classified by the presence or absence of anatomical variations and/or septa using Tukey's test, revealed significant differences for gliding distance between groups with and without anatomical variations, regardless of whether septa were observed (p=0.01). Conclusions: It is necessary to evaluate physical characteristics such as septa and anatomical variations based on advanced screening with ultrasound examinations before considering thumb fixation range for patients in the acute inflammation phase or those exhibiting recurrence of de Quervain's disease.

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Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease: A systematic review and meta-analysis

Cited by 36 publications

References 38 publications

De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment

De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment

‘The side of my wrist hurts’: De Quervain’s tenosynovitis

Analysing orthotic designs for de Quervain's disease based on in vivo gliding distance of extensor pollicis brevis tendon

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