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Original Article

J. Islam. Int. Med. Coll.. 2012; 7(2): 87-90

Efficacy of Intrasheath Steroid Injection in Treating De Quervain's Disease

Syed Qasim Mehmood, Johar Ali, Asif Saeed, Muhammad Nawaz, Rifat Latif.


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 [DHQ]Teaching Hospital Abbottabad from April 2006 to Sept 2009 including a period of follow up of eighteen months.
Materials and Methods: Eighty patients with 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 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.
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.

Key words: de Quervain's disease, intra sheath injection, steroid injections

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