Efficacy of Intrasheath Steroid Injection in Treating De Quervain's Disease

Abstract

Objective: To determine the effectiveness of Intrasheath steroid injection in treating de Quervain`s disease. Study Design: Case series observational study. Place and Duration of Study: Outpatient Department of Orthopedics BBS [DHQ]Teaching Hospital Abbottabad fromApril 2006 to Sept 2009 including a period of follow up of eighteen months. Materials and Methods: Eighty patients with de Quervain`s disease were diagnosed on the basis of positive Finkelstein`s test and presence of severe pain for more than four weeks. These patients were given intrasheath injections of 40 mg Methyl Prednisolone mixed with one ml of lignocaine 2% in the first dorsal compartment of wrist. Patients with trauma, infection and rheumatoid arthritis were excluded from study. Results: Seventy two patients i.e., 90% were cured and out of them 75% required only one injection .Only two cases underwent surgical release. Conclusion: Intrasheath steroid injection is a safe, very useful and cost effective method in treating de Quervain`s disease.

Keywords

• latent tuberculosis, diabetics, non-diabetics, mantoux test.