title: The role of ultrasound-guided triamcinolone injection in the treatment of de Quervain's disease: treatment and a diagnostic tool?
abstract: The purpose of this study was to describe the technique and usefulness of ultrasound-guided intrasheath injection of triamcinolone in the treatment of de Quervain's disease (dQD). Our study was retrospective in design. Seventy-one wrists of 62 patients who were treated with an ultrasound-guided triamcinolone injection for dQD were included. A literature search was performed to compare our results. In the literature we found supportive evidence that accurate injection of triamcinolone in the first dorsal compartment of the wrist is important for a good outcome. In this retrospective study we found that treatment with ultrasound-guided injections of triamcinolone is both safe and effective. After two injections, 91% of the patients had good long-term results, which is a higher cure rate than found in most other studies. Furthermore, we found that Finkelstein's test can give a false positive result. Therefore, ultrasound should not only be considered to improve the treatment outcome, but can also be useful as a diagnostic tool in the management of de Quervain's disease.
authors.affiliation: Academic Medical Center, University of Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Meibergdreef 9, 1105 Amsterdam, AZ, The Netherlands. Electronic address: edinhajder@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Hajder
authors.affiliation: Academic Medical Center, University of Amsterdam, Department of Radiology, Meibergdreef 9, 1105 Amsterdam, AZ, The Netherlands.
authors.forename: M C
authors.initials: MC
authors.lastname: de Jonge
authors.affiliation: Academic Medical Center, University of Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Meibergdreef 9, 1105 Amsterdam, AZ, The Netherlands. Electronic address: c.m.vanderhorst@amc.uva.nl.
authors.forename: C M A M
authors.initials: CM
authors.lastname: van der Horst
authors.affiliation: Academic Medical Center, University of Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Meibergdreef 9, 1105 Amsterdam, AZ, The Netherlands. Electronic address: m.c.obdeijn@amc.uva.nl.
authors.forename: M C
authors.initials: MC
authors.lastname: Obdeijn
mesh_terms: D000328:Adult; D053684:De Quervain Disease / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D012189:Retrospective Studies; D014221:Triamcinolone / Q000008:administration & dosage*; D018084:Ultrasonography, Interventional
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone
keywords: De Quervain; De Quervain's disease; Finkelstein's test; Injection; Tenosynovitis; Test de Finkelstein; Triamcinolone; Ténosynovite; Ultrasound-guided injection; Échoguidage