Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

Authors

  • Shanmuga Sundaram Pooswamy Department of Orthopaedics, Saveetha Medical College Hospital, Tamil Nadu, India
  • Niranjanan Raghavn Muralidharagopalan Department of Orthopaedics, Saveetha Medical College Hospital, Tamil Nadu, India http://orcid.org/0000-0002-9092-843X

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191443

Keywords:

De Quervain, Steroid injection, Intra sheath triamcinolone, Failed conservative

Abstract

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.

Author Biography

Niranjanan Raghavn Muralidharagopalan, Department of Orthopaedics, Saveetha Medical College Hospital, Tamil Nadu, India

Associate professor, 

Department of Orthopaedics 

Saveetha Medical College

Chennai

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Published

2019-04-26

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Original Research Articles