Volume : X, Issue : VIII, August - 2020

Efficacy and safety of local corticosteroid infiltration in DeQuervain's tenosynovitis:A prospective study

Aadil Mohi Ud Din Bhat, Haazim Haneef Pandit, Mohd Rafeeq Wani. Ghulam Nabi Dar

Abstract :

De Quervain‘s tenosynovitis is defined as stenosing tenosynovitis of the synovial sheath of tendons of abductor polices longus and extensor pollicis evis in the first compartment of wrist due to repetitive use. To assess efficacy and safety of local corticosteroid infiltration in dequervains tenosynovits in 30 patients with disease were included in this study.Using Visual analogue scale the severity of tenderness on first dorsal compartment and pain felt on Finkelstein test was recorded. A mixture of 0.5 ml (40mg) of methylprednisolone acetate and 1 ml of 2% Xylocaine was injected in first dorsal compartment of involved wrist. Patients were followed for 6 months on monthly basis. Outcome measure was reduction in pain and tenderness on the radial side of wrist and negative Finkelstein test subsequent to injection. 80% patients after 1st injection were symptoms free at one week, 20% patients were given second injection two weeks after the first.Two patients underwent surgical release. The adverse reaction of steroid mainly depigmentation was seen in 30% of patients, which were subsided in 15 weeks. We conclude local steroid injections in the first dorsal compartment lead to significant improvement in patients with de Quervain‘s tenosynovitis.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

EFFICACY AND SAFETY OF LOCAL CORTICOSTEROID INFILTRATION IN DEQUERVAIN'S TENOSYNOVITIS:A PROSPECTIVE STUDY, Aadil Mohi Ud Din Bhat, Haazim Haneef Pandit, Mohd Rafeeq Wani. Ghulam Nabi Dar INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-8 | August-2020

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