Systematic review and meta-analysis on steroid injection therapy for de Quervain’s tenosynovitis in adults

@article{Ashraf2012SystematicRA,
  title={Systematic review and meta-analysis on steroid injection therapy for de Quervain’s tenosynovitis in adults},
  author={Muhammad Omer Ashraf and V G Devadoss},
  journal={European Journal of Orthopaedic Surgery \& Traumatology},
  year={2012},
  volume={24},
  pages={149-157}
}
  • M. Ashraf, V. Devadoss
  • Published 1 February 2014
  • Medicine, Psychology
  • European Journal of Orthopaedic Surgery & Traumatology
Backgroundde Quervain’s tenosynovitis is a painful condition of the wrist which leads to difficulties in performing activities of daily living.AimsThis systematic review was conducted to examine the effectiveness of steroid injection therapy as compared to splinting for treatment of de Quervain’s tenosynovitis in adults.MethodsThe following databases were searched for relevant studies, MEDLINE, EMBASE, CINAHL, AMED and PsycINFO (via NHS Evidence), and Cochrane Library (via Cochrane… 

The Effectiveness of Corticosteroid Injection for De Quervain’s Stenosing Tenosynovitis (DQST): A Systematic Review and Meta-Analysis

TLDR
It is confirmed that corticosteroid injection results in a statistically significant increase in resolution of symptoms, pain relief and increased function in the treatment of DQST.

"Conservative Management of De Quervain's Stenosing Tenosynovitis: Review & Presentation of Treatment Algorithm".

TLDR
A multimodal approach using splint therapy and corticosteroid injections appears to be more beneficial than either used in isolation, and a level I-II evidence-based treatment protocol is recommended for the optimal non-surgical management of De Quervain's disease.

Hand therapy versus corticosteroid injections in the treatment of de Quervain's disease: A systematic review and meta-analysis.

Comparison between acupotomy and local steroid injection for the management of de Quervain disease

TLDR
Evaluating the effectiveness and safety of acupotomy treatment compared with local steroid injection in patients with de Quervain disease in RCTs with high-quality VAS and RM will provide evidence to judge whether ac upotomy is an effective intervention for patients with dQD.

De Quervain’s tenosynovitis: a non-randomized two-armed study comparing ultrasound-guided steroid injection with surgical release

TLDR
It is observed that USG guided steroid injections are comparable to surgical release in terms of pain relief, functional outcome, complications.

Comparison of intralesional corticosteroid injection with and without thumb Spica cast for de-Quervain tenosynovitis.

TLDR
It has been concluded that use of corticosteroid injection alone is sufficient to treat de-Quervain syndrome as compared to the use of thumb Spica splint with cortic Fosteroid injection.

Ultrasound-guided percutaneous injection to treat de Quervain’s disease using three different techniques: a randomized controlled trial

TLDR
Addition of hyaluronic acid to ultrasound-guided injections of steroids to treat DQD seems to improve the outcome and to reduce the recurrence rate.

The Use of Ultrasound-Guided Injections for Tendinopathies

TLDR
The risk of possible medium-term harm must be weighed up against any short-term efficacy when considering the use of ultrasound-guided corticosteroid injections for tendinopathies, and the evidence and clinical circumstances must be considered for the particular tendon and patient.

Frecuencia de tendinitis de De Quervain en estudiantes de medicina y su relación con el uso de smartphones

TLDR
Almost 40% of young people who use smartphones have De Quervain´s tenosynovitis, but the greater use of it does not show a greater predisposition, while other associated factors must be studied.

References

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Corticosteroid injection for de Quervain's tenosynovitis.

TLDR
The efficacy of corticosteroid injections for de Quervain's tenosynovitis has been studied in only one small controlled clinical trial, which found steroid injections to be superior to thumb spica splinting.

Corticosteroid injection for treatment of de Quervain's tenosynovitis: a pooled quantitative literature evaluation.

TLDR
It seems that injection alone is the best therapeutic approach to de Quervain's tenosynovitis.

Randomised controlled trial of local corticosteroid injections for de Quervain's tenosynovitis in general practice

TLDR
One or two local injections of 1 ml triamcinolonacetonide 10 mg/ml provided by general practitioners leads to improvement in the short term in participants with de Quervain's tenosynovitis when compared to placebo.

Methylprednisolone acetate injection plus casting versus casting alone for the treatment of de Quervain's tenosynovitis.

TLDR
Support of the wrist with casting alone had less favorable outcome in de Quervain's tenosynovitis and adding methylprednisolone acetate injection into the first dorsal compartment of the wrists is necessary for more optimal results.

Treatment of De Quervain’s Disease: Role of Conservative Management

This retrospective study compares two methods used to treat de Quervain’s disease: splintage with oral non-steroidal anti-inflammatory drugs (NSAIDs) and steroid injection. Patients were separated

Treatment of De Quervain's tenosynovitis with corticosteroids. A prospective study of the response to local injection.

TLDR
Treatment of De Quervain's tenosynovitis with methylprednisolone acetate injection rapidly controls the signs and symptoms, does not lead to serious adverse reactions, and should be the preferred initial treatment.

Patient satisfaction and outcomes of surgery for de Quervain's tenosynovitis.

TLDR
Patient dissatisfaction is significantly associated with long-term complication after surgery, surgery is more likely to be satisfactory for patients with a long duration of symptoms, and surgical intervention is effective as definitive therapy for de Quervain's tenosynovitis.

Treatment of de Quervain tenosynovitis. A prospective study of the results of injection of steroids and immobilization in a splint.

In a prospective study of non-operative treatment of de Quervain tenosynovitis, ninety-nine wrists of ninety-five consecutively seen patients who had this diagnosis had an injection of one milliliter

De Quervain's tenosynovitis. Stenosing tenosynovitis of the first dorsal compartment.

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  • Medicine
    Journal of occupational and environmental medicine
  • 1997
TLDR
The purpose of this review is to summarize information from the medical literature on aspects of De Quervain's tenosynovitis likely to be of interest and relevant to occupational medicine practitioners.
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