LOCAL CORTICOSTEROID INJECTION FOR TREATMENT OF DE QUERVAIN’S DISEASE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 36
Abstract
BACKGROUND De Quervain’s disease or stenosing tenosynovitis of first dorsal compartment of the wrist is common wrist pathology. Pain at radial site of wrist results from resisted gliding of the abductor pollicis longus and extensor pollicis brevis tendon in the fibroosseous canal. Diagnosis is made on physical examination. MATERIALS AND METHODS A retrospective study was done in Orthopaedic Department of Kalinga Institute of Medical Sciences, Bhubaneswar, for two years from January 2014 to December 2016. 56 patients were included in the study. RESULTS Out of 56 patients treated with local intrasheath corticosteroid injections, 10 cases failed and were treated with surgical decompression. CONCLUSION Conservative management of de Quervain’s disease with local hydrocortisone injection into first dorsal compartment is first line treatment of choice. Surgical decompression is done only to those patients who failed following injection.
Authors and Affiliations
Basanta Kumar Behera, Sakti Prasad Das
Keywords
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- EP ID EP218925
- DOI 10.18410/jebmh/2017/420
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