Journal List > J Korean Soc Surg Hand > v.21(3) > 1106525

J Korean Soc Surg Hand. 2016 Sep;21(3):131-136. Korean.
Published online September 29, 2016.  https://doi.org/10.12790/jkssh.2016.21.3.131
Copyright © 2016. The Korean Society for Surgery of the Hand
The Relationship between Physical Findings and the Recurrence after Steroid Injection in De Quervain's Disease
Byung Hak Oh, Youn Moo Heo, Jin Woong Yi, Jae Ik Lee and Jae Sin Lee
Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea.

Correspondence to: Youn Moo Heo. Department of Orthopedic Surgery, Konyang University College of Medicine, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. TEL: +82-42-600-9120, 6937, FAX: +82-42-545-2373, Email: hurym1973@hanmail.net
Received May 26, 2016; Revised August 08, 2016; Accepted August 08, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The purpose of this study was to evaluate the effect of steroid injection according to the stage of Finkelstein's test and the severity of tenderness on radial styloid in de Quervain's disease.

Methods

Between January 2011 and December 2012, a total of 57 patients (57 wrists) treated with steroid injection in de Quervain's disease were enrolled on this study. The severity of tenderness, the stage of Finkelstein's test and pain score using visual analogue scale (VAS) were assessed before steroid injection. And the effect of steroid injection was assessed until one year after steroid injection. The relationship between the recurrence of de Quervain's disease after steroid injection and pre-injection findings including tenderness, Finkelstein's test and VAS was assessed.

Results

The success rate of steroid injection was 71.9% (41/57 patients). The outcome of steroid injection was not significantly related to the severity of tenderness (p=0.648), the stage of Finkelstein's test (p=0.530) and VAS score (p=0.607).

Conclusion

The tenderness on radial styloid and the Finkelstein's test are important physical findings for the diagnosis of de Quervain's disease. However, the severity of tenderness and the stage of Finkelstein's test were not showed as predictive factors for the outcome.

Keywords: De Quervain's disease; Finkelstein's test; Steroid injection

Tables


Table 1
Summary of patients
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Table 2
The distribution of results according to visual analogue scale (VAS) score before steroid injection
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Table 3
The correlation between initial tenderness severity and the results of steroid injection
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Table 4
The correlation between the stage of Finkelstein test and the results of steroid injection
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