Improved Corticosteroid Treatment of Recalcitrant de Quervain Tenosynovitis With a Novel 4-Point Injection Technique

Pagonis, Thomas; Δίτσιος, Κωνσταντίνος; Toli, Paraskevi; Givissis, Panagiotis; Christodoulou, Anastasios

doi:10.1177/0363546510382858

Cited by 25 publications

(20 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…De Quervain's tenosynovitis most commonly arises due to the overuse of the thumb musculature which is characterized by pain that spread over the surface of radial aspect of the wrist and intensified by ulnar deviation of the hand 16 . The prevalence of this condition upturns with new occupational demands such as extended work at computer, an athlete especially who follows a high resistance training that includes lifting weight and using hands for support and maximal exertion 10 .…”

Section: Discussionmentioning

confidence: 99%

“…The examiner stabilized the forearm and passively deviated the wrist. Pain at the radial wrist, over the Abductor polli-cis longus and Extensor pollicis brevis tendons, a positive test indicated, when it is significantly more tender than the uninvolved side 5,10 . A written consent was signed by the authorities of institution before the survey was conducted and as quoted by Dr. Padulo in his editorial "Basic principles and recommendation in clinical and field research" informed verbal consent was taken from the study participants according to the "Declaration of Helsinki" 11 .…”

Section: N= (Z) 2 X P (1-p) Dmentioning

confidence: 99%

See 1 more Smart Citation

Frequency of De Quervain’s tenosynovitis and its association with SMS texting

Ali

Asim

Danish

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Objective: to assess the frequency of De Quervain's tenosynovitis and its association with SMS texting. Method: a cross-sectional survey was conducted among undergraduate students studying in different physical therapy schools of Karachi belonging to both public and private sectors. Sample size was 300 students which were selected through convenience sampling. Data was collected through self-administered questionnaire and severity of the pain was assessed through Universal Pain Assessment Tool and De Quervain's tenosynovitis was diagnosed through Finkelstein test. Data entry and analysis were done using computer software SPSS version 20. Frequency and percentages were taken for categorical variable. Chi-square was applied to determine association between different variables and Finkelstein test. P value < 0.05 was considered significant. Results: male/female ratio was 1:4. Regarding the use of cell phones, majority 165 (55%) were using regular cell phones, another 89 (30%) were using touch screen and 38 (13%) were using QWERTY key pads. Almost half of the students were frequently using cell phones for texting, out of them 132 (44%) texted less than 50 messages per day. Another 96 (32%) did texting between 50-100 texts. Out of 300 students who filled the questionnaire 125 (42%) students were experiencing pain in the thumb/wrist. Finkelstein test when done on students almost half (n=149) showed positive results. It was noted that as frequency of mobile phone usage increased progressively more and more people showed positive Finkelstein Test (p value 0.000). Conclusion: the result of the study concluded that almost half of the students use their mobile phones for texting more than 50 S.M.S per day and because of their mobile key pads and high speed of texting they experienced pain and weakness over the base of the thumb/wrist which shows the De Quervain's positive in that students and there is a positive association between the thumb pain and frequent text messaging.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: N= (Z) 2 X P (1-p) Dmentioning

confidence: 99%

Frequency of De Quervain’s tenosynovitis and its association with SMS texting

Ali

Asim

Danish

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The examiner stabilized the forearm and passively deviated the wrist. Pain at the radial wrist, over the Abductor pollicis longus and Extensor pollicis brevis tendons, a positive test indicated, when it is significantly more tender than the uninvolved side 5,10 . A written consent was signed by the authorities of institution before the survey was conducted and as quoted by Dr. Padulo in his editorial "Basic principles and recommendation in clinical and field research" informed verbal consent was taken from the study participants according to the "Declaration of Helsinki" 11 .…”

Section: Methodsmentioning

confidence: 99%

Frequency of De Quervain�s tenosynovitis and its association with SMS texting

Ali¹

2014

MLTJ

View full text Add to dashboard Cite

SummaryObjective: to assess the frequency of De Quervain's tenosynovitis and its association with SMS texting. Method: a cross-sectional survey was conducted among undergraduate students studying in different physical therapy schools of Karachi belonging to both public and private sectors. Sample size was 300 students which were selected through convenience sampling. Data was collected through self-administered questionnaire and severity of the pain was assessed through Universal Pain Assessment Tool and De Quervain's tenosynovitis was diagnosed through Finkelstein test. Data entry and analysis were done using computer software SPSS version 20. Frequency and percentages were taken for categorical variable. Chi-square was applied to determine association between different variables and Finkelstein test. P value < 0.05 was considered significant. Results: male/female ratio was 1:4. Regarding the use of cell phones, majority 165 (55%) were using regular cell phones, another 89 (30%) were using touch screen and 38 (13%) were using QWERTY key pads. Almost half of the students were frequently using cell phones for texting, out of them 132 (44%) texted less than 50 messages per day. Another 96 (32%) did texting between 50-100 texts. Out of 300 students who filled the questionnaire 125 (42%) students were experiencing pain in the thumb/wrist. Finkelstein test when done on students almost half (n=149) showed positive results. It was noted that as frequency of mobile phone usage increased progressively more and more people showed positive Finkelstein Test (p value 0.000). Conclusion: the result of the study concluded that almost half of the students use their mobile phones for texting more than 50 S.M.S per day and because of their mobile key pads and high speed of texting they experienced pain and weakness over the base of the thumb/wrist which shows the De Quervain's positive in that students and there is a positive association between the thumb pain and frequent text messaging.

show abstract

“…He concluded that 4-point injection gave superior results than 2-point injection technique in recalcitrant De Quervain's disease. 24 Even though some studies have reported superior results with two or four point injection technique it is additionally painful and the landmarks are not clearly made out. Our study has given a result of 87.5% success rate with single injection of triamcinolone injection, which is on par with other reported study.…”

Section: Injection Techniquementioning

confidence: 99%

Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

Pooswamy

Muralidharagopalan

2019

Int J Res Orthop

View full text Add to dashboard Cite

Background: De Quervain’s disease or stenosing tenosynovitis of the first dorsal compartment of the wrist is a common condition, which affects the Abductor pollicis longus and the extensor pollicis brevis tendons. There are characteristic signs and symptoms including a positive Finkelstein's test. Different options for treatment include conservative approaches like analgesics, splinting and physical therapy. If conservative options fail then steroid injection is considered.Methods: This is a retrospective study of single dose intra-sheath triamcinolone and lignocaine injection in 32 patients at our institute who were followed up for a period of 12 months.Results: In our study there were 25 females and 7 males with a mean age of 46.4±8.03 years. Right side was involved in 17 patients and left side in 15 patients. The pre procedure VAS score was 8.65±1.07. The follow up VAS scores at 1, 6 and 12 months respectively were 1.4±1.14, 0.84±1.06 and 1.03±1.26 respectively. 4 out of 32 patients had positive Finkelstein’s test at 1 year follow up. Common complications were pain at injection site, which was seen in 5/32 patients and depigmentation seen in 2/32 patients.Conclusions: Thus intra sheath triamcinolone injection is a safe and effective procedure for treatment of De Quervains disease.

show abstract

Improved Corticosteroid Treatment of Recalcitrant de Quervain Tenosynovitis With a Novel 4-Point Injection Technique

Abstract: In high-resistance training athletes, recalcitrant DQT responds more favorably to the novel point 4 technique than to the standard 2-point injection technique.

Cited by 25 publications

References 16 publications

Frequency of De Quervain’s tenosynovitis and its association with SMS texting

Frequency of De Quervain’s tenosynovitis and its association with SMS texting

Frequency of De Quervain�s tenosynovitis and its association with SMS texting

Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

Contact Info

Product

Resources

About