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DOI: Therapeutic evaluation of quervain tendonitis - systematic review with meta-analysis systematic review with meta-analysis of randomized clinical trials
Bianca Gabriella de Oliveira , Acadêmica de Medicina pela Universidade Salvador, Salvador,BA, Brasil Manoel Machado Pereira , Médico residente em Ortopedia e Traumatologia pelo Hospital Aroldo Tourinho, Montes Claros, MG, Brasil Eric Zaneti Teixeira Baptista , Médico residente em Ortopedia e Traumatologia pelo Hospital Alvorada Moema, São Paulo, SP, Brasil Pedro Augusto Espírito Santo de Carvalho , Médico residente em Ortopedia e Traumatologia pelo Centro Médico de Campinas, Campinas, SP, Brasil Lisse Veronica Rocha Salazar , Médico residente em Ortopedia e Traumatologia Hospital Santo Amaro, Guarujá, SP, BrasilAbstract
Objective: The aim of this study is to summarize the treatment of De Quervain's tenosynovitis, from a conservative point of view, by means of corticosteroid injection versus corticosteroid injection with immobilization of the thumb, establishing criteria for prognostic evaluation and a systematic review with meta-analysis.
Methodology: Systematic review with meta-analysis registered under the prolific ID CRD42024557767. The research questions were defined using the PICOS model in accordance with the PRISMA guidelines.
Results: 207 patients were included, of whom 103 underwent corticosteroid injection and 104 corticosteroid injection with immobilization. The studies analyzed in this systematic review showed better results in the Disabilities of Arm, Shoulder and Hand (DASH) assessment in the corticosteroid injection with immobilization group.
Conclusion: Even though corticosteroid injections alone are considered a promising choice of conservative treatment, current evidence points to a multimodal approach, employing various non-surgical modalities associated with better results, studies show that the combination of thumb immobilization with corticosteroid injection is a first-line treatment for patients with De Quervain's tenosynovitis.
Keywords
Tenosynovitis, Tenosynovitis De Quervain, Conservative treatment
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Copyright (c) 2025 Bianca Gabriella de Oliveira, Manoel Machado Pereira, Eric Zaneti Teixeira Baptista, Pedro Augusto Espírito Santo de Carvalho, Lisse Veronica Rocha Salazar
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