Corticosteroid Injection Addition to Casting is Superior to Casting Alone for De Quervain's Disease

Study Type:Therapy

OE Level Evidence:1

Journal Level of Evidence:1

Methylprednisolone acetate injection with casting versus casting alone for the treatment of De-Quervain's Tenosynovitis: a randomized controlled trial.

J Pak Med Assoc. 2020 Aug;70(8):1314-1318.

Contributing Authors: M Akhtar S Faraz Ul Hassan Shah Gillani RD Nadeem M Tasneem

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Synopsis

One hundred and seventy-four patients with De Quervain's tenosynovitis were randomized to receive a thumb Spica cast and a corticosteroid injection (1mL of 10 mg) of triamcinolone acetonide and (1mL) lidocaine, or a thumb Spica cast alone to evaluate improvement in pain and function. The primary outcomes of interest included pain on a Visual Analog Scale (VAS) and the Quick Disability of the Arm, ...