Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis

Abstract

A total of 82 patients (65 females, 17 males) who were admitted between January 2013 and April 2015 were homogeneously divided into two equal groups. There were 42 patients (35 females, 7 males) in the first group and 40 patients (30 females, AbstractAim: This study aimed to compare steroid injection and open surgery in the treatment of De Quervain's tenosynovitis. , a total of 82 patients (65 females, 17 males; mean age=40.3 years; range, 20 to 71 years) who were admitted were included retrospectively. The patients were assigned into two groups, including group I undergoing open surgery, and group II receiving steroid injections. The rates of recurrence and satisfaction were evaluated. The patients undergoing surgery were also evaluated for the wound site infection, nerve injury, wound opening, and limited range of motions of the joints. The patients receiving steroid injections were evaluated for subcutaneous atrophy, fat necrosis, weakening or rupture of tendons, and depigmentation. Results:The mean follow-up was 12 months (range: 6 to 22). Recurrence occurred in eight patients (20%) in the steroid injection group; however, no recurrence was seen in patients undergoing open surgery. Satisfactory or very satisfactory results were achieved in all patients in the surgery group (p=0.04). There were no complications in both groups. Conclusion:Although steroid injection is a therapeutic option in De Quervain's tenosynovitis, open surgery appears to be a more beneficial method with relatively low recurrence and complication rates.

Local steroid injection versus surgical release for treatment of persistent De Quervain’s stenosing tenosynovitis (DQST): a prospective comparative study

“…However, a study done by Kay17 reported a 90% failure rate in surgical release, which disagreed with the present study’s results and with results of most other authors and could have been caused by difference in patient selection parameters. Results also disagreed with Acar and Memik,18 who suggested that open surgery is more useful than steroid injection with relatively low recurrence; the results of the current study showed no significant difference between the two methods.…”

“…The vast majority in the present study were female patients (90%), and dominant hands were affected in 18 patients (60%). This agreed with the study by Pooswamy and Muralidharaogpalan,12 Rankin,14 Lee et al .,16 and Acar and Memik,18 who reported that women were at higher risk than men. However, the results of the current study disagreed with the results of Faithfull and Lamb,20 who found no relation between hand dominance and occurrence of DQST.…”