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International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2021, Volume 7 Issue 1

A prospective study on effectiveness of methylprednisolone acetate injection plus casting versus casting alone for the treatment of de quervain's tenosynovitis

Author(s): Dr. Joe Lourdu Pradeep Benedict, Dr. Arun Heddur Shanthappa
Abstract: Background: De Quervains Stenosing Tenosynovitis is caused by thickening and accumulation of mucopolysaccharide in the sheath of the abductor pollicis longus and extensor pollicis brevis tendons. Prevalence is estimated at 0.5% among men and 1.3% among women Nonsurgical modalities include rest, ice, non-steroidal anti-inflammatory drugs and splinting. Corticosteroid injection is the mainstay of treatment for those patients who do not respond to the above.
Aim: This study was performed to match the result of methylprednisolone acetate injection plus thumb spica cast versus cast alone for the treatment of de Quervain’s tenosynovitis.
Materials and Methods: All patients were explained the nature of the disease and plan of treatment. Patients were randomly grouped. Patients were divided into group A and group B. Among 40 patients =, 20 patients of group A treated with injection of Methylprednisolone acetate in the first dorsal compartment of the wrist followed by thumb spica cast and 20 patients of group B treated with thumb spica cast alone. Wrist casting duration in both groups was 1 month and the patients were followed during 6 and 12 weeks.
Study Type: Randomized controlled Study. Diagnosis of disease was based on clinical findings. Patients with a previous history of acute trauma, wrist fracture, recent steroid injection and pregnancy were excluded from the study.
Result: 65% of study population were female and mean age group was 42.9 years. 35% of them were labourers. By the end of 12 weeks all patients in group A were asymptomatic.
Conclusion: Treatment of de Quervain’s tenosynovitis with methylprednisolone acetate injection plus thumb spica cast is found to be more effective and statistically significant.
Pages: 83-86  |  32 Views  8 Downloads
How to cite this article:
Dr. Joe Lourdu Pradeep Benedict, Dr. Arun Heddur Shanthappa. A prospective study on effectiveness of methylprednisolone acetate injection plus casting versus casting alone for the treatment of de quervain's tenosynovitis. Int J Orthop Sci 2021;7(1):83-86. DOI: 10.22271/ortho.2021.v7.i1b.2462
International Journal of Orthopaedics Sciences