Ultrasound versus palpation-guided corticosteroid injection for de Quervain disease: A randomized controlled trial.
PM R
; 2024 Apr 22.
Article
en En
| MEDLINE
| ID: mdl-38647254
ABSTRACT
INTRODUCTION:
Corticosteroid injection effectively treats de Quervain disease, and due to the high prevalence of the intracompartmental septum in the first extensor compartment, ultrasound guidance improves injection accuracy.OBJECTIVE:
To compare the effectiveness, adverse events, and the recurrence rate between ultrasound-guided and palpation-guided injection in patients with de Quervain disease.DESIGN:
Prospective, single-blind, randomized controlled trial.SETTING:
Rehabilitation department of a private teaching hospital.PARTICIPANTS:
We enrolled 49 patients, ≥20 years of age, clinically diagnosed with de Quervain disease based on their medical history and physical examination.INTERVENTIONS:
Patients were randomized into two groups ultrasound-guided and palpation-guided injection. Both groups received a mixture of 10 mg triamcinolone acetonide (10 mg/1 mL) and 0.3 mL 1% lidocaine. MAIN OUTCOMEMEASURES:
The primary outcome measure was the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score at 1 week. The secondary outcome measures were visual analog scale for pain (pain VAS) score, patient satisfaction, and adverse events or complications from the interventions at 1 week, 3 months, and 6 months.RESULTS:
Both groups showed improvement over time in QuickDASH scores and pain VAS (p < .001); however, no statistically significant differences were noted between the groups for either QuickDASH scores (p = .22) or pain VAS (p = .30). In addition, no statistically significant differences were found between the groups in terms of patient satisfaction (p = .76) and adverse events (p = .47, .33, .58) at the 1-week, 3-month, and 6-month follow-ups.CONCLUSIONS:
Both ultrasound-guided and palpation-guided injections effectively treated de Quervain disease. During a 6-month follow-up, there were no statistically significant differences between the groups in pain relief, upper limb function, or patient satisfaction. However, the palpation-guided group showed a tendency for more recurrence and skin side effects.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
PM R
Asunto de la revista:
MEDICINA FISICA
/
REABILITACAO
/
TRAUMATOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Taiwán