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العنوان
Local Steroid Injection Versus Surgical release for Treatment of Persistent De Quervain`s Disease /
المؤلف
Mazrou, Ibrahim Adel Yousef.
هيئة الاعداد
باحث / ابراهيم عادل يوسف مزروع
مشرف / احمد محسن العليمي
مشرف / اشرف عاطف محمود
مشرف / محمد اسامة رمضان
الموضوع
Orthopedic Surgery.
تاريخ النشر
2020.
عدد الصفحات
100 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
24/3/2021
مكان الإجازة
جامعة طنطا - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

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Abstract

De Quervain’s disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist; it is more common in pregnant and nursing females. The condition has characteristic features as radial side wrist pain aggravated by grasping and repetitive hand movements. These symptoms are usually aggravated by provocative tests as Finkelstein test. The aim of that study was to compare the results of corticosteroid injection versus surgical release in treating persistent De Quervain’s disease. 30 patients were included in that study, one had bilateral affection, their age varied between 20 and 50 years, 27 patients (90%) were females and 3 (10%) were males .18 dominant hands (60%) were affected , 11 non-dominant hands (36.7%) and 1 bilateral affection (3.3%). There were 11 lactating females (44%) and 14 nonlactating (56%). All patients were subjected to the following: A. Complete history taking B. Clinical examination C. Investigations including: CBC, random blood sugars, plain x-ray on wrist joint The results of this study could be summarized as follows: By clinical assessment, using functional score modified after DASH score and Michigan Hand score: significant improvement of 13 hands of 12 patients in group A was noticed but 3 patients didn’t improve and subjected to surgical release. While in group B the whole 15 patients’ symptoms improved. However, there was insignificant difference between both groups. The complications in group A included 2 patients with recurrence improved after second injection and 1 patient with hypopigmentation improved after 2.5 months. In group B, 2 patients had superficial radial neuritis, one of them improved while the other persisted.