Management Outcome of de Quervain’s Disease with Corticosteroid Injection Versus Surgical Decompression
محل انتشار: مجله استخوان و جراحی عمومی، دوره: 9، شماره: 2
سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 168
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شناسه ملی سند علمی:
JR_TABO-9-2_005
تاریخ نمایه سازی: 18 اردیبهشت 1400
چکیده مقاله:
Abstract Background: This randomized clinical trial was undertaken to document the clinical presentation of de Quervain’s disease and evaluate the outcome of management with triamcinolone acetonide (TAC) injection versus surgical decompression. Methods: Half of the patients were assigned to the corticosteroid injection group (group A) and half to the surgery group (group B). In group A, ۴۰ mg of TAC was injected into the affected first extensor compartment. In group B, surgical decompression of first extensor compartment was performed. Results: There were ۵۶ patients with ۳۸ (۶۷.۸۵ %) females and ۱۸(۳۲.۱۴%) males. The age range was ۲۳-۶۶ years. In group A, one injection was employed among ۷(۲۵%) patients whereas two injections among ۲۱(۷۵%) patients. Local complications with injections were observed among ۷ patients. Symptomatic relief with injection at ۶-weeks was observed among ۲۵% patients whereas recurrence at one year was observed among ۹(۳۲.۱۴%) patients. In group B, no critical complications were encountered following surgery; all the patients had symptomatic relief at ۶-weeks and there was no case with recurrence at one year. Conclusion: Surgical decompression provided superior results in terms of providing symptomatic relief at ۶-weeks among all patients, absence of complications and no recurrence. The corticosteroid injections (CSI) were associated with the need for repeat injections among ۷۵% cases and a recurrence rate of ۳۲.۱۴% at one year, rendering it to be comparatively a poorer choice. Level of evidence: II
کلیدواژه ها:
نویسندگان
Muhammad Saaiq
Department of Plastic Surgery, National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan