Unblinding de Quervain: A systematic review of ultrasound-guided injection of corticosteroids for treatment of stenosing tenosynovitis of the 1st extensor compartment.
J Med Radiat Sci
; 70(3): 319-326, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37078429
ABSTRACT
A systematic review was conducted on studies reporting steroid injections with ultrasound for de Quervain. From 10 studies included and 379 wrists, 73.9% reported complete resolution of symptoms, 18.2% with partial and 7.9% without resolution. When compared to the landmark-guided technique, ultrasound guidance showed significantly higher rates of symptom resolution (P = 0.0132) and lower pain scores (P < 0.0001). Twenty-nine patients out of 163 who initially showed complete resolution of symptoms reported subsequent recurrence. We conclude that steroid injections guided by ultrasound present high rates of symptomatic relief through precise needle insertion, especially in cases of anatomic variability with subcompartments.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atrapamiento del Tendón
/
Enfermedad de De Quervain
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
J Med Radiat Sci
Año:
2023
Tipo del documento:
Article
País de afiliación:
Canadá