Unblinding de Quervain: A systematic review of ultrasound-guided injection of corticosteroids for treatment of stenosing tenosynovitis of the 1st extensor compartment.
Kathy Shiqi HeKevin Shixiao HeAndre CheahBecher Al-HalabiMichel Alain DaninoJohnny Ionut EfanovPublished in: Journal of medical radiation sciences (2023)
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.
Keyphrases
- ultrasound guided
- fine needle aspiration
- single molecule
- end stage renal disease
- magnetic resonance imaging
- ejection fraction
- newly diagnosed
- peritoneal dialysis
- prognostic factors
- pain management
- neuropathic pain
- adverse drug
- physical activity
- combination therapy
- depressive symptoms
- electronic health record
- replacement therapy