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Local Corticosteroid Injection Versus Open Surgical Release in De Quervain Tenosynovitis: A Single-Center Study
Sponsor: Rawalpindi Teaching Hospital, District Headquarter Hospital, Rawalpindi
Summary
This quasi-experimental study compared pain outcomes following local corticosteroid injection (CSI) versus open surgical release in 100 patients with clinically confirmed De Quervain tenosynovitis unresponsive to conservative management. Patients were allocated to treatment based on clinician judgment and patient preference. Pain was assessed using the Visual Analog Scale (VAS) at baseline, one month, and six months post-intervention. The study was conducted at a single tertiary care centre in Rawalpindi, Pakistan between March 2023 and April 2025.
Official title: Comparative Effectiveness of Local Corticosteroid Injection and Open Surgical Release for Pain Outcomes in De Quervain Tenosynovitis: A Single-Centre Study
Key Details
Gender
All
Age Range
18 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2023-03-03
Completion Date
2025-04-20
Last Updated
2026-07-06
Healthy Volunteers
No
Conditions
Interventions
Triamcinolone acetonide with lidocaine
Triamcinolone acetonide 40mg/mL (1mL) + 1% lidocaine (1mL) - single injection
Open surgical release of first dorsal extensor compartment
Longitudinal decompression of the fibro-osseous sheath overlying APL and EPB tendons
Locations (1)
Rawalpindi Teaching Hospital.
Rawalpindi, Punjab Province, Pakistan