The Use of Splinting in the Non-Surgical Treatment of De Quervain's Disease: A Review of the Literature

  title={The Use of Splinting in the Non-Surgical Treatment of De Quervain's Disease: A Review of the Literature},
  author={Fiona Coldham},
  journal={Hand Therapy},
  pages={48 - 55}
  • F. Coldham
  • Published 1 June 2006
  • Medicine, Psychology
  • Hand Therapy
Background The application of splinting in the treatment of de Quervain's disease is widespread. However, given its cost and the potential limitation to daily activities, clinicians must be confident of splinting's efficacy before utilising it. Objectives To determine whether there is any clinical evidence to support the use of splinting in the non-surgical treatment of de Quervain's disease. Search Strategy: A search was conducted using the Cochrane clinical trials register (November 2004 of… 

Comparison between myofascial release and myofascial taping as an adjunct to conventional occupational therapy in the management of dequervain's tenosynovitis: A randomized controlled trial

Although both MFT and MFR showed improvement in function and decrease in pain, when compared it is concluded that MFT along with conventional occupational therapy yield significantly better outcome measures in terms of decreasing pain and improving function.

The Efficacy of Local Injection of Methylprednisolone and Lidocaine with and Without Splint, in Treating Patients with De Quervain's Tenosynovitis

Comparing the efficacy of local injection of methylprednisone and lidocaine with and without splint for treatment of patients suffering from de Quervain's tenosynovitis revealed that after the 3-week period of treatment the mean reduced pain intensity and improvement in the first group was significantly lower than the second group.

Local steroid injection versus surgical release for treatment of persistent De Quervain’s stenosing tenosynovitis (DQST): a prospective comparative study

Both corticosteroid injection and surgical release were effective in persistent DQST treatment with insignificant differences, therefore the less invasive injection would be preferred.

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

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.

Efficacy of therapeutic ultrasound in De-Quervain' s Tenosynovitis

It was determined that ultrasonic therapy is useful in treating De-tenosynovitis quervain's when the tendon is inflamed.

Relieving Tenderness Over Anatomical Snuff Box Through Penetration Enhancing Vehicles

It can be concluded that ketoprofen phonophoresis has an excellent effect on relieving pain of de Quervain's tenosynovitis during pregnancy that physiotherapists should confidently be able to use it in treating such cases.

Wrist and Hand Injuries in Sport

The chapter will further provide an overview of common soft tissue injuries of the hand and wrist by detailing the assessment, management, and rehabilitation strategies and protocols.



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

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

Treatment of de Quervain's disease.

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

Mobilization with movement as an adjunct intervention in a patient with complicated de Quervain's tenosynovitis: a case report.

MWM involving the correction of minutejoint malalignments, coupled with active motion of the wrist and first carpometacarpal joints, was an effective and efficient adjunct physical therapy intervention.

A patient with de Quervain's tenosynovitis: a case report using an Australian approach to manual therapy.

The case report demonstrates the use of an Australian approach to manual therapy as described by Maitland, which includes development, refinement, and rejection of working hypotheses as to the possible cause(s) of a patient's symptoms.

De Quervain's disease: surgical or nonsurgical treatment.

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

  • J. Moore
  • Medicine
    Journal of occupational and environmental medicine
  • 1997
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.

Extensor triggering in de Quervain's stenosing tenosynovitis.

A retrospective review of 827 patients with the diagnosis of de Quervain's disease over a 5-year period, 11 patients with 13 affected wrists were identified who had demonstrable triggering by both history and physical examination.

De Quervain’s Disease

The basic anatomy of the first extensor compartment is presented with a review of the pathology of de Quervain’s stenosing tenovaginitis and recommendations about the management of this condition are presented.