Role of Guided Ultrasound in the Treatment of De Quervain Tenosynovitis by Local Steroid Infiltration

Danda, Raja Shekar; Kamath, Jagannath B; Jayasheelan, Nikil; Kumar, Prashanth

doi:10.1055/s-0036-1581123

Cited by 24 publications

(14 citation statements)

References 10 publications

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“…However, in order to achieve this effect, a high-potency corticoid such as triamcinolone acetonide should be chosen and the infiltration should be placed appropriately. For this, the use of ultrasonography is crucial 12 – 14 .…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Salvador‐Rodríguez

Arias‐Santiago

Molina-Leyva

2020

Sci Rep

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Corticosteroid infiltrations of lesions in hidradenitis suppurativa (HS) appear to be beneficial to acute flares. The aim of this study is to evaluate the effectiveness and safety of ultrasound-assisted intralesional corticosteroid infiltrations to HS lesions. Prospective cohort study between February 2017 and February 2019 on patients with mild to severe HS and one or more inflammatory lesions. The study intervention was ultrasound-assisted intralesional infiltration of triamcinolone acetonide 40 mg/ml. The main outcome was the complete response rate of infiltrated lesions versus non-infiltrated lesions. Two hundred and forty-seven infiltrated inflammatory lesions and 172 non-infiltrated lesions were included. At week 12, 81.1% (30/37) of nodules, 72.0% (108/150) of abscesses and 53.33% (32/60) of draining fistulas presented complete response versus 69.1% (47/68), 54.3% (38/70) and 35.3% (12/34) respectively for the non-infiltrated lesions. The Hurley stage negatively correlated with complete response for abscesses and draining fistulas at − 0.17 (SD 0.06) p < 0.01 and − 0.30 (SD 0.13) p < 0.02 respectively. Ultrasound-assisted corticosteroid infiltration is a useful technique for the treatment of inflammatory HS lesions, with high and sustained response rates, especially for abscesses and small to medium-size simple draining fistulas. The likelihood of response correlates negatively with the Hurley stage.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Salvador‐Rodríguez

Arias‐Santiago

Molina-Leyva

2020

Sci Rep

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“…However, the sensory and motor test evaluations were performed by an independent blinded observer. Therefore, we believe unintentional bias had little impact on overall results [10].…”

Section: Discussionmentioning

confidence: 95%

“…Scalp vein needles are widely used for nerve blocks or irrigation [8][9][10], and incorporate a siliconized tube and wings that allow the operator to stabilize the relatively short beveled needle [8]. However, during TAAB, the axillary artery must be palpated for arterial pulsation when the needle is advanced into or withdrawn from the artery, which may cause the needle tip to move beyond the brachial plexus sheath.…”

Section: Discussionmentioning

confidence: 99%

Effect of needle approach to the axillary artery on transarterial axillary brachial plexus block quality

Chang

Lee

Oh³

et al. 2017

Anesth Pain Med

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“…However, primary and secondary end point evaluations were performed by independent blinded observers. Therefore we believe that unintentional bias had little impact on the overall results of this study (18). Although this limitation may have eliminated interoperator variability, it may have reduced the generalizability of our findings (16).…”

Section: Discussionmentioning

confidence: 87%

A Randomized Comparison Between Two Injections from Two Planes versus Two Injections with a Uniplanar Approach for Ultrasound-Guided Supraclavicular Block

et al. 2020

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BACKGROUND: The brachial plexus courses along the lateral to posterior aspect of the subclavian artery located within the supraclavicular region as a trunk or division. Therefore we hypothesized that 2 injections, one along the lateral and one along the posterior aspect of the brachial plexus, could be performed by changing the angle of the ultrasound probe, thereby achieving a 3-dimensional (3-D) even distribution of local anesthetics. Previously, we confirmed the efficacy of this type of approach with that of a single cluster approach. These findings represent a subsequent study. OBJECTIVES: This study was conducted to confirm the superiority of block quality achieved by 2 injections from 2 planes (control group; group C) over 2 injections in one plane (experimental group; group E). STUDY DESIGN: A randomized, controlled trial. SETTING: Department of Anesthesiology and Pain Medicine, Gachon University Gil Medical Center. METHODS: In group C (n = 35), the brachial plexus sheath was penetrated in 2 planes by anteriorly altering the angle of the ultrasound probe without changing its position. In group E (n = 35), the upper and lower portions of the brachial plexus sheath were penetrated in one plane. A total of 15 mL of lidocaine 1.5% containing epinephrine (1:200,000) was injected at each point in both groups. The ultrasound-guided supraclavicular brachial plexus block was evaluated every 5 minutes for 30 minutes. The main outcome variables were rates of blockage of all 4 nerves and ulnar nerve sparing. RESULTS: The rate of blockage of all 4 nerves (median, ulnar, radial, and musculocutaneous nerves) was not significantly different between the 2 groups (94% in group C vs. 86% in group E, respectively; P = 0.232). The number of spared ulnar nerves was similar (1 vs. 5, respectively; P = 0.088). Group procedure times, onset times, and Visual Analog Scale scores for the blocks were similar. LIMITATIONS: For the 2 plane, 2 injection approach, only 2-D imaging was performed rather than 3-D imaging. CONCLUSIONS: Two injections performed in one plane offered similar benefits to 2 injections performed in 2 planes. The 2 techniques provided comparable block qualities and could be viewed as equally effective alternatives. KEY WORDS: Brachial plexus block, multiple injection, supraclavicular block, ultrasound

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Role of Guided Ultrasound in the Treatment of De Quervain Tenosynovitis by Local Steroid Infiltration

Cited by 24 publications

References 10 publications

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Ultrasound-assisted intralesional corticosteroid infiltrations for patients with hidradenitis suppurativa

Effect of needle approach to the axillary artery on transarterial axillary brachial plexus block quality

A Randomized Comparison Between Two Injections from Two Planes versus Two Injections with a Uniplanar Approach for Ultrasound-Guided Supraclavicular Block

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