ISSN 2149-5807 | E-ISSN 2149-6048
Original Article
Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis
1 Department of Orthopedics and Traumatology, Division of Hand and Upper Extremity Surgery, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey  
2 Department of Orthopedics and Traumatology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey  
Eurasian J Emerg Med ; : -
DOI: 10.5152/eajem.2017.40469
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Key Words: De Quervain’s tenosynovitis, open surgery, steroid injection
Abstract

Aim: This study aimed to compare steroid injections and open surgery in the treatment of De Quervain’s tenosynovitis.

 

Materials and Methods: Between January 2013 and April 2015, a total of eighty-two  patients (65 females, 17 males; mean age: 40.3 years; range: 20 to 71 years) who were admitted , were retrospectively included. The patients were assigned into two groups: Group 1 undergoing open surgery and Group 2 receiving steroid injections. The rates of recurrence and satisfaction were evaluated. The patients undergoing surgery were also evaluated for the surgical  site infection, nerve injury, wound opening, and limited range of motions of the joints. The patients receiving steroid injections were evaluated for subcutaneous atrophy, fat necrosis, weakening or rupture of tendons, and depigmentation.

 

Results: The mean follow-up was 12 months (range: 6 to 22 months). Recurrence occurred in eight patients (20%) in the steroid injection group; however, no recurrence was seen in the open surgery group. Satisfactory or very satisfactory results were achieved in all patients in the surgery group (p=0.04). There were no complications in both groups.

 

Conclusion: Although steroid injection is a therapeutic option in De Quervain’s tenosynovitis, open surgery appears to be a more beneficial method with relatively low recurrence and complication rates.

 

Cite this article as: Acar E, Memik R. Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis. Eurasian J Emerg Med 2017

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