Steroid injections for tenosynovitis in the hand

Area of Science:

• Orthopedics and Hand Surgery
• Musculoskeletal Disorders
• Injection Therapies

Background:

• Trigger finger, carpal tunnel syndrome, and de Quervain's disease are common conditions affecting the hand and wrist.
• Understanding their history, anatomy, and pathology is crucial for effective treatment.
• Steroid injections are a frequently used conservative treatment modality.

Purpose of the Study:

• To review the history, anatomy, and pathology of trigger finger, carpal tunnel syndrome, and de Quervain's disease.
• To evaluate the success rates of steroid injections in treating these conditions.
• To compare the predictability of outcomes for each condition following steroid injection therapy.

Main Methods:

• Retrospective review of 171 cases treated with steroid injections.
• Analysis of treatment outcomes for trigger finger, carpal tunnel syndrome, and de Quervain's disease.
• Assessment of the success and predictability of steroid injection therapy.

Main Results:

• Steroid injections demonstrated significant success in treating trigger finger.
• Successful outcomes were also observed for de Quervain's disease following steroid injections.
• Treatment results for carpal tunnel syndrome using steroid injections were less predictable.

Conclusions:

• Steroid injections represent a viable and often successful treatment for trigger finger and de Quervain's disease.
• The efficacy of steroid injections for carpal tunnel syndrome is variable and less predictable.
• Further research may be warranted to optimize carpal tunnel syndrome treatment strategies.