Local Steroid Injection Versus Surgical Release for Treatment of Persistent De Quervain's Stenosing Tenosynovitis (DQST)

A Prospective Comparative Study

Ibrahim Mazrou, MBBCH; Mohamed Ramadan, MD; Ashraf Atef, MD; Ahmed El Elemy, MD

Disclosures

Curr Orthop Pract. 2022;33(1):27-31. 

In This Article

Results

Before treatment, the mean score in group A was 32.75±9.72, and the mean in group B was 30.53±9.07. At the end of follow-up period, the mean score in group A was 14.0±12.38, and the mean of group B was 9.87±5.17. The hand function in both groups improved and was statistically significant (P<0.05). However, there was an insignificant difference between both groups (P>0.05, Table 2).

Age, gender, hand dominance, occupation, duration of symptoms, and obstetric and lactation history had no significant impact on final results (P>0.05). The incidence was higher in women with a 9:1 ratio of women to men. The highest incidence of the disease was among housewives (76.7% of all patients).

In group A, three patients (20%) failed to respond to the maximum injection number and underwent surgical release, two patients (12.5%) had recurrences after 3 and 5 wk after the first injection relief; however, they improved after the second injection. One patient (6.25%) experienced skin hypopigmentation that improved after 2.5 mo; two patients in group B (13.3%) experienced numbness and tingling at the distal phalanx of the thumb representing superficial radial neuritis. The symptoms of one patient disappeared after 2.5 mo, but the other patient's symptoms persisted until the end of the follow-up period. There were no wound complications such as infection or keloid formation.

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