Objective: To determine the effectiveness of Intrasheath steroid injection in treating de Quervain •s disease. Study Design: Case series observational study Place and Duration of Study: Outpatient Department of Orthopedics BBS [DHQI Teaching HospitalAbbottabad from April 2006 to Sept 2009 including a period offollow up of eighteen months. Materials and Methods: Eighty patients Wlth de Quervain•s disease were diagnosed on the basis Of positive Finkelstein's test and presence of severe pain for more than four weeks. These patients were given intrasheath injections of 40 rng 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. Results: Seventy two patients i_e_ , 90% were cured and out of them 75% required only one injection Only two cases underwent surgical release _ Conclusion: Intrasheath steroid injection is a safe, very useful and cost effective method in treating de Quervain• s disease.
Syed Qasim Mehmood, Johar Ali, Asif Saeed, Muhammad Nawaz, Rifat Latif. (2012) Efficacy of Intrasheath Steroid Injection in Treating De Quervain’s Disease, Journal of Islamic International Medical College, Volume-7, Issue-2.