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Extracompartmental Two-Injection Technique for Treating De Quervain Tenosynovitis.

Tyler S Iodence1, William F McCormick2, Jeffrey A Marchessault2

  • 1Orthopedic Surgery, Watauga Orthopaedics, Bristol, USA.

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|March 9, 2026
PubMed
Summary

A novel two-injection technique for De Quervain tenosynovitis (DQT) significantly improved pain and grip strength. This extracompartmental approach offers a promising alternative to traditional injections for DQT treatment.

Keywords:
corticosteroid injectionde quervainhandinjectiontenosynovitis

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • De Quervain tenosynovitis (DQT) is a common condition affecting the tendons of the thumb.
  • Traditional treatments, including intracompartmental steroid injections, carry risks and potential complications.

Purpose of the Study:

  • To evaluate the efficacy of a novel extracompartmental two-injection technique for treating De Quervain tenosynovitis.
  • To compare the outcomes of this new technique with baseline measurements and reported results of other injection methods.

Main Methods:

  • A prospective study involving fifteen patients diagnosed with DQT.
  • Patients underwent a novel extracompartmental two-injection technique.
  • Pain (Visual Analog Scale), grip strength, and physical examination findings were assessed before and four weeks after treatment.

Main Results:

  • 100% of patients showed symptom improvement and absent physical exam findings.
  • 73% of patients achieved complete symptom resolution.
  • 93% of patients experienced improved grip strength post-treatment.
  • The technique demonstrated significant improvement in pain and grip strength compared to baseline.

Conclusions:

  • The extracompartmental two-injection technique is effective for De Quervain tenosynovitis.
  • This method offers comparable short-term outcomes to other techniques while potentially reducing pain and risks.
  • The reproducible technique provides a valuable option for clinicians and patients managing DQT.