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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

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Treating women with De Quervain tenosynovitis in puerperium: is the corticoid infiltration effective?

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  • presenting/speaker Luiz Vilela - Hospital Marcio Cunha, Ipatinga, Brazil
  • Henrique Chamon - Hospital Marcio Cunha, Ipatinga, Brazil
  • Bruno Vasconcelos - Hospital Marcio Cunha, Ipatinga, Brazil
  • Rafael Lopes - Hospital Marcio Cunha, Ipatinga, Brazil

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. DocIFSSH19-610

doi: 10.3205/19ifssh0290, urn:nbn:de:0183-19ifssh02907

Published: February 6, 2020

© 2020 Vilela et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To evaluate if in women in puerperium the infiltration for De Quervain tenossynovitis is effective after another conservative treatments failed.

Methods: This is a prospective study performed in the period of march of 2018 and june of 2018, when 11 women and 13 wrists all of them in puerperium attended a hand surgery office.

10 were submitted a infiltration 1 refused) with betametasone and lidocaine for tenosynovitis De Quervain, 8 were in lactation period.

The average time of symptoms was 7 months (2 months to 2 years).

The average of follow up was 4.8 months (3 to 6 months).

7 women and 9 wrists were evaluated for this study, 3 women were not able to attend the proposal.

In 2 women (3 wrists) two infiltrations were performed, in 5, (6 wrists) one was done.

6 right wrists, 3 left.

5 patients, 6 wrists were not in lactation period anymore.

All the patients were treated previously with physiotherapy, anti inflammatory drugs and splints without success.

We collected data based on Quick Dash score before and after treatment, which was used for the results.

Results and Conclusions: The Quick Dash score pre treatment was 59.5 in average (47.7 to 72.7).

After infiltration the score was reduced to 17.38 (0 to 86.3).

In only 1 patient (1 wrist) the Dash score had increased (the patient was with symptoms for 2 years and was submitted to two infiltrations).

About the 5 patients (6 wrists) that were not in lactation period a, the Quick Dash score reduced considerably in 4 of them (4 wrists) - 0 to 4.5 points.

We conclude that infiltration with betametasone in pacients in puerpery period leads a good result, and this consideration is special for the ones out of lactation period, when the literature shows a resolution o symptoms.

The weaknesses of this study was the little time of follow up and few number of patients.

We think that for the improvment obtained, and the simple and low cost procedure, this should be considered in a puerperal women refractory to other treatments, specialy in non lactation period.