Comparison of nonsurgical treatment measures for de Quervain's disease of pregnancy and lactation.
de Quervain's disease of pregnancy and lactation is usually self-limited and responds well to nonsurgical treatment. We conducted a randomized prospective study on 19 wrists of 18 patients with de Quervain's disease who were either pregnant or breast-feeding. One group had a cortisone injection into the tendon sheath and the other group used thumb spica splints. All 9 patients with injections had complete pain relief with only one late recurrence. None of the patients with splints had complete pain relief; however, at the end of the lactation period, 8 had spontaneous resolution of symptoms and 1 received a cortisone injection. de Quervain's disease of pregnancy and lactation is self-limited and can be treated successfully with cortisone injection. Splinting does not provide satisfactory pain relief.
Avci
Sinan
S
Department of Orthopaedics, Ankara Güven Hospital, Turkey.
Yilmaz
Cengiz
C
Sayli
Ugur
U
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular; D007774:Lactation; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use*; D017060:Patient Satisfaction; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011446:Prospective Studies; D012720:Severity of Illness Index; D013165:Splints; D013717:Tenosynovitis / Q000628:therapy*; D016896:Treatment Outcome; D014955:Wrist Joint / Q000473:pathology*
D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone