gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Correlation between ultrasound image and surgery in De Quervain’s tenosynovitis

Meeting Abstract

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  • presenting/speaker Hugo Campo - Fundacion Valle del Lili-Colombia, Cali-Colombia, Colombia
  • Alejandro Sandoval Daza - Fundacion Valle del Lili-Colombia, Cali-Colombia, Colombia
  • Alvaro Lombana - Fundacion Valle del Lili-Colombia, Cali-Colombia, Colombia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1841

doi: 10.3205/19ifssh0609, urn:nbn:de:0183-19ifssh06092

Veröffentlicht: 6. Februar 2020

© 2020 Campo et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background: De Quervain's tenosinovitis is a common condition with a rate of men to women of 10:1 and an incidence of 0.5% and 1.3%, respectively, in the general population. It is a disorder with important repercussions on patients' professional lives due to the fact that they require an interruption of essential hand movement needed in their everyday jobs, which contributes to work absence. Additionally, it is a disorder in many cases incorrectly diagnosed; therefore, patients don't receive appropriate treatment. Previous studies have shown that ultrasound is a dependable technique for the diagnosis of De Quervain's tenosynovitis.

Objectivs: To describe the usefulness of soft tissue ultrasound as a presurgical diagnostic complimentary method in chronic stenosing tenosynovitis or De Quervain's disease.

Methods: A retrospective, observational, descriptive, cohort studio was performed. Between 2011 and 2015, 33 patients were included considering a prior De Quervain's tenosynovitis clinical diagnosis. All patients underwent ultrasound. To determine the correlation between the ultrasound and the findings after surgery, Spearman's rank correlation test was used.

Results: A total of 33 patients were chosen after meeting the stipulated selection criteria; 24% of these were men and 76% women. The mean age was 41.6, with a median of 39 years old. We found a positive correlation between the ultrasound and surgical findings in 85% (28 of 33) of the patients included.

Conclusions: There is a strong correlation between the ultrasound and the surgical findings in patients with a prior clinical diagnosis of De Quervain's tenosynovitis. The complimentary imaging technique favors the therapeutic approach, which is why it is a conduct recommended in these patients.