Comments on “Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial”

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Nonsurgical treatment for de Quervain's tenosynovitis.

N D c m Q f c HE PATIENT 33-year-old, left-handed woman who is a homeaker reports 2 months of left wrist pain. The pain is orse when lifting her children, opening bottles, or urning doorknobs. She has seen her primary care docor who diagnosed her with “tendonitis” and prescribed er an unscheduled nonsteroidal anti-inflammatory rug (NSAID) and a wrist splint. Physical exam idenifies tenderness a...

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Hypopigmentation After Local Corticosteroid Injection for De Quervain Tenosynovitis

The clinical presentation hypopigmentation is a rare complication after intralesional injection of triamcinolone acetonide. A 32-year-old female, yellow race, visited our dermatology department for a hypopigmented patch in right dorsum of her right thumb. The lesion developed after injection of an intralesional corticosteroid. The patient was diagnosed with hypopigmentation secondary to the tri...

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Factors Associated with Operative Treatment of De Quervain Tendinopathy

Background:  Geographic and doctor-to-doctor variations in care are a focus of quality and safety efforts in medicine. This study addresses factors associated with variation in the rate of operative treatment of de Quervain tendinopathy.   Methods: We used a database including all patient encounters at 2 large medical centers, to study the experience of 10 hand surgeons and 1 physiatrist workin...

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Treatment of Postoperative Shivering with Dexamethasone: A Prospective Randomized Clinical Trial

Background: Postoperative shivering is an important and troublesome condition during recovery from general anesthesia.  Corticosteroids have been recommended to facilitate recovery and diminish shivering after cardiac surgery.  Previous studies recommended 0.6 mg/kg dexamethasone for reducing postoperative shivering in patients undergoing cardiac surgery.   Objective: To test this assertion, we...

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Corticosteroid injection with or without thumb spica cast for de Quervain tenosynovitis.

PURPOSE To compare the corticosteroid injection (CSI) with or without thumb spica cast (TSC) for de Quervain tendinitis. METHODS In this prospective trial, 67 eligible patients with de Quervain tenosynovitis were randomly assigned into CSI + TSC (33 cases) and CSI (34 cases) groups. All patients received 40 mg of methylprednisolone acetate with 1 cc lidocaine 2% in the first dorsal compartmen...

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ژورنال

عنوان ژورنال: HAND

سال: 2018

ISSN: 1558-9447,1558-9455

DOI: 10.1177/1558944718813734