Quervain's Tenosynovitis Research Articles

Fungsi Sekuens Dixon Pada Pemeriksaan Mri Wrist Joint Dengan Kasus Dequervein Tenosinovitis Syndrome

Function Of Dixon Sequences In Wrist Joint Mri Examination In Dequervein Tenosynovitis Syndrome Cases. Magnetic Resonance Imaging (MRI) is the primary modality in patients with symptoms associated with De Quervain's Tenosynovitis Syndrome which is a stenosing tenosynovitis condition that affects the extensor tendons of the carpometacarpal and metacarpal joints of the thumb. The Dixon technique has the advantage of being able to produce fat images and water images. The basic principle of the Dixon technique is that each voxel has its signal coded periodically at a fixed offset. The purpose of using the Dixon sequence is to: analyze fluid and tissue which can differentiate between the firmness of fluid and tissue including nerves and blood vessels. The Dixon can press fat so that the boundaries are firm, the presence of muscle and fat infiltration can be seen. This research is a qualitative study using a case study method using 3 patients who underwent MRI Wrist Joint examinations in cases of Dequervein Tenosynovitis Syndrome. Data was collected using observation, documentation and interviews with radiographers and radiologists. The results of the data that have been collected can be concluded from the MRI Wrist Joint examination in cases of Dequervein Tenosynovitis Syndrome which was carried out at one of the hospitals in Jakarta, using the Sequence T1_tse_tra, T2_tse dixon_fs_cor, T2_tse_dixon_fs_sag, T1_vibe_we_cor, Pd_tse_fs_tra_2.5mm. Because by using the Dixon sequence the results obtained are more detailed in evaluating pathological abnormalities.

Work-Related Risk Factors Contributing to De-Quervain's Tenosynovitis among Carpenters in Punjab

Purpose: De Quervain's Tenosynovitis is inflammation of extensor pollicis brevis and abductor pollicis longus tendons that run from the side of the wrist to the base of the thumb. To see the frequency of De Quervain’s Tenosynovitis and work related risk factors in carpenters of Punjab, Pakistan
 Methodology: It was a cross-sectional study. Sample size of the research was 492. Study was conducted at the province Punjab, Pakistan. Inclusion criteria of the study were carpenters of age between twenty to fifty years having experience of more than 2 years. Data was collected to the selected population, through convenient sampling technique. Duration of the study was 8 months. Outcome measures of the study were Finkelstein test, Visual analogue scale and a structured questionnaire. The collected data was analyzed by using SPSS version 25.
 Findings: Out of 492 participants, De-Quervain's Tenosynovitis was found to be present in 46% of carpenters Punjab. 25.6% of the participants had moderate, while 22.3% had extreme discomfort in lower back. 19.91% reported not to have an enough space for work. 55.69% didn’t take adequate breaks while working. 69.91% reported to have no back rest while working, 63% reported not use any wrist support or brace while working and 35.36% reported not to have any proper training for this work.
 Conclusion: De Quervain’s Tenosynovitis is prevalent in carpenters of Punjab, Pakistan. Work-related discomfort was found in various regions of body including eyes, neck, shoulders, arms, wrist and hand. Contributing work-related risk factors for De Quervain's Tenosynovitis among carpenters encompass insufficient training, absence of wrist support, and inadequate breaks during work.

Prevalence of De-Quervain’s Tenosynovitis in Female Tailors in District Wazirabad

Purpose: De Quervain's tenosynovitis affects the thumb abductors close to the radiostyloid process, causes a painful wrist complaint. When performing particular jobs incorrectly, the wrist and thumb might lead to De Quervain's Tenosynovitis. It is associated with work that necessitates repetitive wrist and thumb motion. Pain, numbness, tingling, burning, stiffness, and exhaustion are a few of the warning signs and symptoms. Complaints include a loss of normal sensation, a restriction in range of motion, and a decline in grip strength. The objective of the study was to determine the prevalence of De-Quervain's Tenosynovitis in female tailors in district Wazirabad.
 Methodology: Amongst female tailors, a cross-sectional survey was done. Based on the inclusion and exclusion criteria, 289 participants were chosen through convenient sampling technique. The process was described to the study participants. The degree of the pain was evaluated using the Numeric Pain Rating Scale (NPRS), and an assessment of the illness was made using the Finkelstein test. Both hands were put to use for the test. Pain over the abductor pollicis longus and extensor pollicis brevis tendons at the wrist is a sign of a positive diagnosis. The SPSS program was used to examine the data. Data was presented in for of tables and charts.
 Findings: De-Quervain's Tenosynovitis was present in 43% of the population overall. When the results of the right and left hands were compared, it was discovered that 33% females had right hand had De Quervain's tenosynovitis and 10% had it in both hands. Sixty of the respondents reported experiencing mild pain, 41 women reported moderate pain, and 23 reported severe pain. This study concluded that the prevalence of De-Quervain’s Tenosynovitis in female tailors is low.
 Recommendations: The study was grounded in the Cumulative Stress Theory, emphasizing repetitive motion's impact on occupational health. Tailors should receive training on ergonomics, use ergonomic tools, and undergo regular wrist health check-ups. Policy makers must set occupational health standards for tailors, ensuring ergonomic tool usage, and mandate periodic health audits in tailoring establishments

Radiographic Edema Is a Predictor of de Quervain's Tenosynovitis.

Background de Quervain's tenosynovitis (DeQ) is a clinical diagnosis; however, due to the symptom overlap with other pathologies, it can occasionally be challenging to make an accurate diagnosis, especially for nonorthopaedic trained physicians. Questions/Purposes We hypothesized that the ratio of radial-sided to ulnar-sided soft tissue swelling could serve as a universally accessible diagnostic tool to assist in differentiating DeQ from other upper extremity conditions. Patients and Methods We retrospectively identified patients with isolated DeQ (M65.4), thumb carpometacarpal arthritis (M18.X), or carpal tunnel syndrome (G56.0x) between 2018 and 2019. Five blinded, independent reviewers evaluated anterior-posterior radiographs of the affected wrist. A digital caliper was used to measure the shortest distance from the lateral cortex of the distal radius and the medial cortex of the distal ulna to the outer edge of the radial and ulnar soft tissue shadows, respectively. Results The mean radial:ulnar ratio in the DeQ group was significantly larger than in the control groups. The interclass correlation coefficient showed strong agreement between all measurements. Patients with a radial:ulnar ratio of 1.7 or higher had a 61% chance of having DeQ with a 56.5% sensitivity, 66.3% specificity, 59.3% positive predictive value (PPV), and 63.8% negative predictive value. A ratio of more than 2.5 correlates to a 55% chance of having DeQ with a sensitivity of 12.9%, specificity of 96.9%, and PPV of 78.6%. Conclusion The ratio of radial- to ulnar-sided wrist edema can be used as a novel diagnostic aid in DeQ, especially for those not trained in orthopaedics or hand surgery. Level of Evidence Level IV, diagnostic study.

Prevalence of De-Quervain’s Tenosynovitis in Tailors of Multan (Punjab)

Purpose: De Quervain's Tenosynovitis is inflammation of extensor pollicis brevis and abductor pollicis longus tendons that run from the side of the wrist to the base of the thumb. To see the frequency of De Quervain’s Tenosynovitis and work related risk factors in tailors of Multan, Pakistan
 Methodology: It was a cross-sectional study. Sample size of the research was 246. Study was conducted at the city of Pakistan, Multan. Inclusion criteria of the study were tailors of age between twenty to fifty years having experience of more than 3 years. Data was collected to the selected population, through convenient sampling technique. Duration of the study was 8 months. Outcome measures of the study were Finkelstein test, Visual analogue scale and a structured questionnaire. The collected data was analyzed by using SPSS version 25.
 Findings: Out of 246 participants, 72.3% were males and 27.6% were females. Prevalence of De Quervain's Tenosynovitis was found to be 64% in tailors of Multan through Finkelstein test. 25.6% of the participants had moderate, while 22.3% had extreme discomfort in lower back. 35.3% reported to have mild discomfort in arms. 52.4% had mild to moderate discomfort in wrist or hand. 19.91% reported not to have an enough space for work. 44.30% did not have adjustable chairs. 69.91% reported to have no back rest while sewing, 63% reported unavailability of foot rest and 64.63% had no arm rest while sewing.
 Recommendations: De Quervain’s Tenosynovitis is prevalent in tailors of Multan, Pakistan. Work-related discomfort was found in various regions of body including eyes, neck, shoulders, arms, wrist and hand. Chairs with no adjustable height, unavailability of arm and foot rest and no back support were associated work related risk factors in tailors.

Clinical Considerations of First Extensor Wrist Compartment (FEWC) Variants and De Quervain's Disease: A Review Study.

The first extensor wrist compartment (FEWC) displays significant variants. This review highlights all possible variants that may be associated with the occurrence and pathophysiology of de Quervain's tenosynovitis. A thorough search of PubMed and MEDLINE databases, following the PRISMA guidelines, was conductedfrom 2002 to 2022 to evaluate all FEWC variants, including the following: 1) the presence of an inter-tendinous septum, 2) the number of tendinous slips of the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) muscles, 3) their distal insertions and 4) the presence of a bony ridge within the FEWC.A total of 3878 wrists (1277 cadaveric and 1296 de Quervain patients) were included.Of the 1234 cadavers, a total of 701 (56.8%) were males and 533 (43.2%) were females. Regarding the 883 patients, 178 (20.2%) of them were males and 705 (79.8%) were females. An inter-tendinous septum was identified in 42.9% (47% of the patients' wrists compared to 39.3% of the cadaveric wrists, p<0.0001). Cadaveric wrists presented two or more slips for the APL in a significantly higher percentage (92.5%, p < 0.0001) compared to de Quervain patients' wrists (74.5%). Regarding the EPB muscle, de Quervain patients' wrists had a single slip in 93% (p=0.0007) and two or more slips in 3.6%, compared to cadaveric wrists (a single slip in 87%, and two or more slips in 11%, p< 0.0001). A bony ridge over the radial styloid process was recorded in 58.9% of the cadaveric wrists compared to 17.8% of the patients' wrists (p < 0.0001). Remarkable diversity concerning the structures within the FEWC was reported. The presence of an inter-tendinous septum dividing the FEWC and a single EPB muscle slip is more likely to be found in patients with de Quervain's disease.

Raktamokshana - A Customary Perspective to alleviate De Quervain’s Tenosynovitis w.s.r. to Vatarakta - A Rare Case Study

The discovery of De Quervain's Tenosynovitis was much acknowledged in classical books in terms of symptoms that could be associated to Vatarakta (Gout), but the disease's nomenclature was only identified in the later period of global modernization. This case study describes a young woman who was pre-diagnosed with De Quervain's condition and treated using the Vatarakta paradigm of treatment protocols, principally raktamokshana (Blood-letting). Raktamokshana with the advent of jalauka (leech) is taken into consideration in the study because Vata and Rakta (blood) are vitiated, which furthers the disease. Rakatamokshana is an excellent treatment option for De Quervain's Tenosynovitis due to its efficiency, simplicity of administration, and safe therapy regimen. With outstanding results for pain management and the restoration of the functioning of the wrist joint, this therapy modality can therefore be recommended for the condition. Need of study: To evaluate the new conceptual idea for treating De Quervain’s Tenosynovitis that is non-invasive and helps to restoring the normal function of corresponding hand and wrist movements. Methodology: Current case report presents a 34-year-old woman with a right-hand dominant job whose primary complaints were pain, morning stiffness, localized burning sensation and swelling at the radial styloid process on the right hand at the base of the thumb for the past two months, who was diagnosed as De Quervain’s Tenosynovitis and was treated with Raktamokshana with Jaluka with two sittings. Conclusion: After first sitting she had 80% relief from symptoms and was totally symptomless after second sitting of Raktamokshana, helping new therapeutic regimen to treat the disease.

Surgical Treatment of De Quervain's Tenosynovitis: A Literature Review

De Quervain's tenosynovitis is a common condition that affects the tendons of the thumb at the wrist. In this literature review article, a comprehensive overview of the surgical treatment of this disease is presented. Aspects related to epidemiology, clinical significance, definition, diagnosis, surgical techniques and indications, complications are addressed and a discussion on the results and effectiveness of treatment is offered. Based on the available evidence, it is concluded that surgical treatment of de Quervain's tenosynovitis is an effective and safe option in selected cases that do not respond to conservative measures.

Treatment selection for de Quervain's tenosynovitis based on the Michigan’s Hand Questionnaire

Objective: De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment. Treatment options include conservative measures, injections, and surgery. The main purpose of this study is to eliminate uncertainty in the choice of treatment and to recommend the appropriate treatment to the patient based on Michigan hand questionnaire. &#x0D; Material and Methods: The age, sex, and treatment modality of the patients were recorded retrospectively. Patients' Michigan outcomes were assessed, and patients were divided into three groups: Patients who benefited from conservative treatments (Group 1), from injections (Group 2), and from surgery (Group 3). Statistical analysis of the data was performed.&#x0D; Results: The mean age of the 56 patients (54 women, 2 men) was 35.1±11.4 years. There was a difference between all groups in total hand function and pain scores (p &lt; 0.05). Patients in group 1 were significantly different from the other groups (p &lt; 0.05), and there was no significant difference between group 2 and group 3 (p &gt; 0.05).&#x0D; Conclusion: Various methods have been described for De Quervain's tenosynovitis’s treatment. Choosing the right therapeutic steps for the right patients is important. It is possible to select treatment options by assessing overall hand function and activities of daily living with the Michigan Hand Outcome Questionnaire

Effect of radiofrequency in de Quervain's tenosynovitis: A randomized control trial

Background. De Quervain's tenosynovitis is mucoid degeneration of the tendon sheaths of the two tendons that regulate the mobility of the thumb. As a result, the wrist's thumb side is painful and uncomfortable. Objectives. To assess radiofrequency's effectiveness in patients with de Quervain’s tenosynovitis. Design. A prospective randomized controlled trial. Setting. physical therapy department, Rail Way Hospital. Methods. 40 participants with de Quervain’s tenosynovitis. Participants were divided into two groups at random: group A (control group), which received an ultrasound, transverse friction massage, and strengthening exercises; and group B (study group), which received radiofrequency plus ultrasound, transverse friction massage, and strengthening exercises. Pain intensity, hand grip strength, and pinch strength were all measured at the baseline and after 4 weeks of treatment by using the visual analog scale, Jamar dynamometer, and pinch gauge, respectively. Results. All outcome indicators in both groups improved statistically significantly (P &lt; 0.05), according to within-group comparisons. The between-group comparisons showed significant improvement in all outcome measures for both groups (P &lt; 0.05), with the study group showing superior improvement to the control group; the study group's VAS improvement percentage was 28.7%, its grip strength improvement percentage was 6.71%, and its pinch strength improvement percentage was 28.6%. Conclusion. In comparison to ultrasound, transverse friction massage, and strengthen exercise, radiofrequency plus ultrasound, transverse friction massage, and strengthen exercise resulted in greater improvements in de Quervain's tenosynovitis patients' pain intensity, hand grip strength, and pinch strength.

De Quervain&amp;rsquo;s tenosynovitis and thumb pain in physiotherapists practicing manual therapy: prevalence and associated factors

&lt;p&gt;&lt;strong&gt;Background and Objective:&lt;/strong&gt; Manual therapy is a treatment approach by physical therapists where different techniques are applied to patients with hands for rehabilitation purposes. The objective of the study was to find the frequency of De&amp;rsquo;Quervain tenosynovitis and thumb and wrist pain in physical therapists working in different rehabilitation centers in relation to age, body mass index (BMI), and working hours.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A cross-sectional study was conducted on 135 physical therapists working in different settings in Lahore, Pakistan. Physiotherapists were enrolled by convenience sampling. Data were recorded on a questionnaire form. Finkelstein test was performed to check De Quervain&amp;rsquo;s tenosynovitis. A numeric pain rating scale was sued to measure pain. The data were tested for significance using statistical tests.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; On the dominant hand, 99 (73.3%) physical therapists had no wrist pain, 104 (77%) had no thumb pain, 28 (20.7%) had mild wrist pain and 20 (14.8%) had mild thumb pain. Only 21 (15.6%) physiotherapists were tested positive for Finkelstein (De Quervain&amp;rsquo;s tenosynovitis). Finkelstein test reported 100% negative result on the non-dominant side. There is a negative correlation between thumb pain with the age (r = -0.005), BMI (r = -0.110) and working hours (r = -0.033) of the physical therapists.&lt;/p&gt;&#x0D; &lt;p&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;: The study concluded that the prevalence of De Quervain&amp;rsquo;s tenosynovitis, thumb, and wrist pain was more on the dominant hand than on the non-dominant side. The majority of the physical therapists reported mild to no pain in the wrist and thumb. There is a negative correlation of thumb pain with age, BMI and working hours.&lt;/p&gt;&#x0D; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Clinical examination of the hand

Clinical examination of the hand requires a structured approach allowing the clinician the formulate an appropriate differential diagnosis for the purposes of further investigation and timely diagnosis and management. Eliciting a careful history and subsequently employing the examination principles of inspection, palpation, and movement, followed by targeted special tests, are key to assessing the various pathologies affecting the hand. This article discusses the key elements of history-taking and examination structure when assessing hand pathology, and reviews in detail the special tests involved in common pathology seen in the hand, including osteoarthritis, rheumatoid arthritis, carpal tunnel syndrome, cubital tunnel syndrome, Dupuytren's disease, and de Quervain's tenosynovitis.

Effect of Therapeutic Ultrasound and Deep Friction Massage in De-Quervain’s Tenosynovitis

Objective: To determine the effectiveness of ultrasound therapy and deep friction massage in relieving symptoms of de-quervain’s tenosynovitis Material and methods: This Study Was Conducted In Physiotherapy Department Of Al-Shafi Medical Rehabilitation Complex. It is a Randomized controlled trial. There were 2 groups consisting of 20 patients each (patients with de-qurvain’s tenosynovitis). The data was collected through the following data collection tools. Hand assessment tool (hat). Visual analogue scale (vas). Results: Mean score of Hand Assessment Tool between both groups was -0.550 Std. 0.152 with a P-value of 0.001. Mean score of Visual Analog Score mean difference between both groups was -0.350 Std. 0.205 with a P-value of 0.097. Practical Implication: Postoperatively, the wrist is splinted in a neutral position until the skin sutures are removed. This will minimize the probability of tendon anterior subluxation Conclusion: Ultrasound therapy is effective in treating de-quervain’s tenosynovitis. Deep friction massage is also effective in treating de-quervain’s tenosynovitis. Keywords: Ultrasound therapy, Deep Friction Massage, de Quervain's tenosynovitis, neutral position, Pakistan

Efficacy of ultrasound‑guided platelet rich plasma injection for the management of de Quervain's tenosynovitis.

De Quervain's tenosynovitis (DQT) is a painful stenosing tenosynovitis of the first dorsal compartment of the wrist, which may be refractory to conservative treatments. The present study aimed to evaluate the efficacy of ultrasound (US)-guided platelet-rich plasma (PRP) injection for the management of DQT. For this purpose, from January, 2020 to February, 2021, 12 patients with DQT who received the US-guided PRP injection were studied prospectively. All patients were evaluated clinically for pain intensity using the visual analog scale and sonographically prior to treatment. The patients were followed-up at 1 and 3 months after the procedure to evaluate the efficacy of the treatment. In total, 12 hands of 12 female patients with DQT were analyzed in the present study. The post-treatment clinical evaluation revealed complete recovery in 4 (33.3%) of the patients, and 6 (50%) of them had recovered and returned to their daily activities. The sonographic evaluation revealed a significant reduction in the mean retinaculum thickness from 1.84 to 1.069 mm, and mean tendon sheath effusion from 2.06 to 1.25 mm, with only 58% of the cases having tendon sheath effusion at 3 months post-treatment. On the whole, the findings of the present study demonstrate that US-guided PRP injection with needle tenotomy can be used as an alternative non-surgical therapy for patients who do not respond to conventional conservative treatments, particularly in cases with sub-compartmentalization. The use of US may play a crucial role in the treatment of DQT, as improved clinical outcomes can be obtained with US-guided injections, particularly in cases with sub-compartmentalization.

Fenestration under ultrasonography guidance with hydrodissection for de Quervain's tenosynovitis

Fenestration under ultrasonography guidance with hydrodissection for de Quervain's tenosynovitis

Comparison of Clinical and Functional Outcomes after Platelet-Rich Plasma Injection and Corticosteroid Injection for the Treatment of de Quervain's Tenosynovitis.

Background Platelet-rich plasma (PRP) has local anti-inflammatory actions, which is being used as a treatment in various tendinopathies. Purpose The aim of the study is to compare the clinical results of PRP injection and corticosteroid injection in the management of de Quervain's tenosynovitis (DQTSV). Patients and Methods In this prospective study, 60 patients of DQTSV, fulfilling the predefined inclusion and exclusion criteria, were randomised into two groups. In group 1 ( n = 30), patients received a single injection of autologous PRP and in group 2 ( n = 30) they received a single injection of corticosteroid (methylprednisolone). All patients were followed up at 1 month, 3 months, 6 months, and 1 year for evaluation by Finkelstein test, visual analogue scale (VAS), DASH (Disabilities of the Arm, Shoulder and Hand) score, and Modified Mayo Wrist score (MMWS). Results In both the groups improvement occurred in Finkelstein test, VAS score, DASH score, and MMWS which were found to be statistically significant at all points of follow-ups when compared to the pre-intervention values. Comparison of scores between the two groups did not show any statistical significance. No complications were reported in PRP group. Statistically significant complications ( p -value = 0.026) like subcutaneous fat atrophy, depigmentation, and temporary increase in pain were seen in eight patients in the corticosteroid group with an overall complication rate of 26.67%. Conclusion Both the modalities are equally effective in the management of DQTSV remittance. PRP is equally effective as corticosteroid in reducing symptoms of first dorsal compartment stenosing tenosynovitis. PRP may have a lower complication profile, however, this benefit should be weighed against the slight increase in cost and time of PRP preparation and injection. Level of Evidence Level 2, prospective comparative study.

Treatment of de Quervain's Tenosynovitis with Prolotherapy: A Case Report

Introduction: De Quervain's tenosynovitis is a disease with pain in the styloid process area due to chronic inflammation of the tendons covering the abductor pollicis longus and extensor pollicis brevis muscles at the level of the distal radius. This study aims to describe the treatment of de Quervain's tenosynovitis with prolotherapy.&#x0D; Case presentation: A woman, 49 years old, working as a cleaning service, came to the hospital with complaints of pain in her right thumb and wrist. Pain has been felt since 1.5 years ago, especially when using the hand and moving the thumb. The pain has been getting worse in the last 4 months and is sometimes swollen and red near the thumb. Physical examination showed nodules measuring 2x1 cm in the right radial region, positive tenderness, positive Allen test, active and passive movement of digit 1, rotation and adduction inhibition, wrist extension and digitorum positive, wrist flexion and digitorum positive, and a positive Finkelstein test. The patient was diagnosed with de Quervain's tenosynovitis dextra. Prolotherapy was carried out as pain management in this patient.&#x0D; Conclusion: Treatment with injection prolotherapy of patients with complaints of de Quervain's tenosynovitis using a mixture of D40% solution and lidocaine has a good prognosis for symptom improvement and relatively minimal complications.

PREVALENCE OF DE QUERVAIN’S TENOSYNOVITIS AND ITS ASSOCIATION WITH MOBILE TEXTING AMONG THE UNIVERSITY STUDENTS

De Quervain tenosynovitis of the wrist is a tightening or compression along with the inflammation of the 1st dorsal compartment. Objectives: To determine the magnitude of De Quervain's Tenosynovitis, functional disability and pain association with Mobile Texting among the students of The University of Lahore. Methods: A non-probability convenience sampling strategy was used to conduct a cross-sectional research among 191 individuals from the University of Lahore. The data was obtained using the Standardized Michigan Hand Outcomes Questionnaire after informed written agreement. The Numeric Pain Rating Scale (NPRS) was used and Finkelstein's test was performed. The data was analyzed using the SPSS. For categorical data, frequency and percent-ages were used, and the chi-square test to find the relation between the variables. P-value of &lt;0.05 was considered significant. Both male and female patients who matched the inclusion criterion of being between the ages of 22 and 32 were taken in study. Results: Out of 191 university students, 100 (52.4%) were male and 91(47.6%) were female, the age was 27 ± 0.32, dominant hand of 177 (92.67%) was right and 14 (7.33%) were left-handed. There was a positive association among Finkelstein's test and Michigan hand questionnaire (MHQ) as p &lt; 0.001 as well as Numeric Pain Rating Scale (NPRS) and Michigan hand questionnaire (MHQ) as p&lt;0.001. Conclusions: The study discovered that nearly significant proportion of the student’s text on their phones, and that as a consequence of their mobile phones usage and extreme texting speed and they experience De Quervain's. There is an affirmative correlation between frequent text messaging and thumb pain.

Tendon injections - upper extremity.

Imaging-guided tendon procedures aim to reduce pain and increase function by controlling inflammation and stimulating healing. Ultrasound is the preferable guiding modality due to its high resolution and real-time demonstration of the tendinous anatomy and needle positioning. The technique includes appropriate patient positioning, which varies depending on the targeted tendon, as well as sterile and proper draping. For most procedures, we prefer the "in-plane" approach, which demonstrates the entire needle as it advances through different tissue layers. Upper limb injections commonly use corticosteroids and anesthetics with different reported short- and long-term results depending on the tendon treated; better results are obtained in the treatment of tenosynovitis (sliding tendons such as trigger finger and De Quervain's tenosynovitis). Shoulder and elbow tendinopathies (anchor tendons) may also benefit from injections containing irritants or healing stimulants such as dextrose (prolotherapy) and platelet-rich plasma or by the stimulation of healing via tendon perforations (fenestration). The hyaluronic acid injection has also been used in the treatment of both tenosynovitis and tendinopathies. For tendons passing through osteofibrous tunnels, an additional release may be performed, and the techniques are discussed in this review. Therefore, this article provides practicing musculoskeletal radiologists and trainees with a comprehensive review of tendon injection musculoskeletal image-guided procedures.

Comparative study between corticosteroids and platelet-rich plasma in the treatment of de Quervain’s tenosynovitis

Background: De Quervain tenosynovitis is named after the Swiss surgeon, Fritz de Quervain, who first described it in 1895. It is a condition that involves tendon entrapment affecting the first dorsal compartment of the wrist. Pain is exacerbated by thumb movement and radial and ulnar deviation of the wrist. De Quervain tendinopathy can be self-limited and may resolve without intervention. For those individuals with persistent symptoms splinting, systemic inflammatories, and corticosteroid injections are frequently used as non-surgical treatment options. Corticosteroids have both anti-inflammatory and immunosuppressive effects and have been used in the treatment of DQST. With the widespread increase in research in the field of regenerative orthopedics, PRP has become a natural, biological enhancer. Platelet-rich plasma (PRP) is safe and reduces symptoms in different tendon pathologies, such as De Quervain's disease. It has a high concentration of platelets above baseline in comparison to whole blood count to accelerate tissue healing, modulate inflammation, and provide symptomatic relief. Aim: To evaluate the effectiveness of PRP injection in comparison to corticosteroid injection in the treatment of DQST. Methods: Patients underwent randomization into groups: corticosteroids and PRP. We followed both groups at 4, 12, and 24 weeks for improvement in wrist pain, disability, and finger motion. The resolution of symptoms and improvements in the Visual Analog Scale (VAS) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were assessed to evaluate treatment success. Results: 1) Forty-four patients with suspected DQST were divided into two groups, i.e., PRP group I and corticosteroid group II in a 1:1 by lottery method. 2) Pain measured by VAS score has shown a reduction in pain in the PRP group-I with every follow-up. However, a similar pattern was not shown in the corticosteroid group II. We found in our study that a lower DASH score was found in 14(63.64%) patients of PRP group I compared to 8(36.36%) patients of corticosteroid group II. After PRP injection, pain, disability, and finger motion improve steadily and eventually get better. Conclusions: Based on results found in the present study, for De Quervain's Tenosynovitis (DQST) condition, PRP injections were superior to corticosteroid injections in terms of pain management, finger motion, and reduced disability.