Efficacy of intrasheath steroid injection in treating de quervain's disease

ABSTRACT

To determine the effectiveness of Intrasheath steroid injection in treating de Quervairfs disease. Case series observational study. Outpatient Department of Orthopedics BBS [DHQ] Teaching Hospital Abbottabad from April 2006 to Sept 2009 including a period of follow up of eighteen months. Eighty patients with de Quervairfs disease were diagnosed on the basis of positive Finkelsteirfs test and presence of severe pain for more than four weeks. These patients were given intrasheath injections of 40 mg Methyl Prednisolone mixed with one ml of lignocaine 2% in the first dorsal compartment of wrist. Patients with trauma, infection and rheumatoid arthritis were excluded from study. Seventy two patients i.e., 90% were cured and out of them 75% required only one injection .Only two cases underwent surgical release. Intrasheath steroid injection is a safe, very useful and cost effective method in treating de Quervairfs disease