Nonsurgical Treatment for de Quervain's Tenosynovitis

Ilyas, Asif M.

doi:10.1016/j.jhsa.2008.12.030

Cited by 72 publications

(65 citation statements)

References 10 publications

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“…Many patients with de Quervain's tenosynovitis are given a corticosteroid injection and a prescription for non-steroidal anti-inflammatory drugs (NSAIDs) for pain management upon initial presentation to the physician [9][10][11]. The corticosteroid injection is delivered into the first dorsal compartment [8,11,14].…”

Section: Conservative Carementioning

confidence: 99%

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Goel

Abzug

2014

Hand (New York, N,Y.)

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de Quervain's tenosynovitis is an overuse disease that involves a thickening of the extensor retinaculum, which covers the first dorsal compartment. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. A 34-year-old right hand-dominant female who works in a daycare facility presents with radial side wrist pain during lifting activity for the past 4-6 weeks. The patient was diagnosed with de Quervain's tenosynovitis and conservative care was initiated. Conservative care involved antiinflammatory medication and corticosteroid injections as well as occupational therapy to include splinting, activity modification, modalities, manual treatment, and therapeutic exercise. Although conservative care assisted the patient with her symptoms initially, she returned with increased pain and discomfort after 2 months time. At that point, surgery was discussed and performed to release the first dorsal compartment as well as the sub-compartment. The patient was provided with a splint postoperatively and initiated occupational therapy for edema and scar management, therapeutic exercise, and desensitization. Ultimately, the patient was able to return to work pain free.

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Section: Conservative Carementioning

confidence: 99%

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Goel

Abzug

2014

Hand (New York, N,Y.)

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“…Нередко возникает болезненное напряжение короткого абдуктора и длинного разгибателя большого пальца. При длительном течении болезни на наружной стороне лучевой кости отмечается формирование плотного, смещаемого при пальпации и движении большого пальца узелка (утолщение сухожилия) [80][81][82].…”

Section: кистьunclassified

Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 1

Евгеньевич¹,

Каратеев²,

Orlova³

et al. 2015

RJTAO

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Основной областью профессионального интереса ревматологов считается лечение тяжелых, угрожающих жизни системных заболеваний, таких как ревматоидный артрит (РА), анкилозирующий спондилит, системная красная волчанка, подагра и др. Это-«большая» ревматология, область высоких достижений, где нашли практическое применение последние открытия медицинской науки и новейшие разработки фармакологической индуст-рии. Сегодня основой успешного лечения ревматических заболеваний являются точное знание главных элементов их патогенеза, использование методик ранней диагностики, в том числе высокоточных лабораторных и инструментальных тестов, обязательная оценка тяжести болезни с помощью стандартизированных индексов, а также применение целенаправленной (таргетной) патогенетической терапии [1, 2].

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“…Nonsurgical treatments include local corticosteroid injections, NSAID, splinting, and some therapeutic modalities such as stretching, strengthening, and iontophoresis. And some surgical treatment modalities for releasing the first dorsal extensor compartment at wrist such as open surgery or endoscopy assisted minimal invasive surgery must take into account in case of failure in conservative treatment options mentioned above 6, 7. Additionally, differences of number of channels in first dorsal compartment and existence of septa between APL and EPB are seen more in patients with de Quervain disease than normal population.…”

Section: Introductionmentioning

confidence: 99%

One portal endoscopic release of the first extensor compartment in de Quervain's disease

Karakaplan¹,

Ertem²,

Canbay³

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectivesWe aimed to present preliminary result of one portal endoscopic assisted release of first dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method.Materials and methodsThe patients, who underwent an endoscopic-assisted release of the first extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectively analyzed. Operative treatment was considered if the patients did not respond to non-operative treatment including oral anti-inflammatory medications, splinting, and steroid injection. Surgical release was recommended after minimum four months of unsuccesful non-operative treatment, including a steroid injection. 10 wrists were treated with one portal endoscopic assisted release. All patients were evaluated at an average of 16.1 months follow-up using visual analog scale (VAS) pain ratings and the Disabilities of Arm, Shoulder and Hand (DASH) score.ResultsThe mean operating time was 13.9 min (range, 10–21min). The mean VAS and DASH scores were improved from 8.2 to 1.9 and 70.51 to 2.81 respectively. No significant difference was found between operated and non-operated arms in postoperative pinch and strengths. Transient superficial radial nerve paresthesia (two wrists) and significant scar tenderness (one) were identified in three cases. There was no patient that complain of unsightly scar and tendon subluxation.ConclusionsOne portal endoscopic assisted release of the extensor compartment is an effective and safe minimal invasive procedure with similar complication rates reported previously in open and endoscopic procedures in patients with de Quervain's disease who are unresponsive to non-operative treatments.Level of EvidenceLevel IV Therapeutic Study

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Nonsurgical Treatment for de Quervain's Tenosynovitis

Cited by 72 publications

References 10 publications

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the upper extremity. Part 1

One portal endoscopic release of the first extensor compartment in de Quervain's disease

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