Comparative study between surgical release and local steroid injection in treatment of De Quervain disease

Background: De Quervain disease is a condition that known to be the reason for lateral side wrist pain. it more frequently happens with people do heavy manual jobs like housewives, and butchers. Despite there being controversy in management of Quervain's tenosynovitis, but conservative management, includes corticosteroid injections combined lidocaine into first dorsal compartment surgical release compartment. Through an oblique incision are considered beneficial treatment. Objective: The aim this study compare between effectiveness local injection open treatment terms symptomatic relief, patient satisfaction complications, Patients Methods: prospective carried out at Krishna Institute medical sciences from April 2021 October 2022. A total number patients were Fifty disease, grouped randomly two groups; group consisted twenty-Five who treated injection, second managed by decompression. recurrence rate after intervention investigated both groups using 10-point visual analog scale (VAS). Results: study, Forty females Ten males female-to-male ratio (4). Group 1 Twenty-Five 15 twenty method very satisfied, 5 4 dissatisfied was dissatisfied. 2 Release. 20 Twenty Five satisfied outcome. 3 outcome dissatisfied.Conclusion: Surgical comes better outcomes cases having tenosynovitis fails respond injection.