کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4068538 1604374 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Corticosteroid Injection With or Without Thumb Spica Cast for de Quervain Tenosynovitis
ترجمه فارسی عنوان
تزریق کورتیکواسترویید با یا بدون اسکایپ اسکیتس برای دئروویر تنیسینووییت
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeTo compare the corticosteroid injection (CSI) with or without thumb spica cast (TSC) for de Quervain tendinitis.MethodsIn this prospective trial, 67 eligible patients with de Quervain tenosynovitis were randomly assigned into CSI + TSC (33 cases) and CSI (34 cases) groups. All patients received 40 mg of methylprednisolone acetate with 1 cc lidocaine 2% in the first dorsal compartment at the area of maximal point tenderness. The primary outcome was the treatment success rate, and the secondary outcome was the scale and quality of the treatment method using Quick Disabilities of Arm, Shoulder and Hand and visual analog scale scores.ResultsThe groups had no differences in mean age, sex, and occupation. The visual analog scale and Quick Disabilities of the Arm, Shoulder and Hand scores were similar in both groups before the treatment. The treatment success rate was 93% in the CSI + TSC group and 69% in the CSI group. Although both methods improved the patients' conditions significantly in terms of relieving pain and functional ability, CSI + TSC had a significantly higher treatment success rate.ConclusionsThe combined technique of corticosteroid injection and thumb spica casting was better than injection alone in the treatment of de Quervain tenosynovitis in terms of treatment success and functional outcomes.Type of study/level of evidenceTherapeutic II.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 39, Issue 1, January 2014, Pages 37–41
نویسندگان
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