Keywords
How to Cite
Abstract
De Quervain's Tenosynovitis (TQ), initially described in 1895 by Swiss physician Fritz de Quervain, is a painful and chronic musculoskeletal condition characterized by thickening of the tendon sheaths in the first dorsal compartment of the hand. The pathophysiological process begins with involvement of the first dorsal compartment of the wrist, where the tendons of the abductor pollicis longus (APL) and extensor pollicis brevis (ECP) are located. Thus, the problem addressed in this article is guided by the following research question: "What is the effectiveness of treatments used for De Quervain's Tenosynovitis (TQ) on the functional capacity of patients affected by this orthopedic clinical condition?" The objective of this article, therefore, was to analyze in the literature the impacts of De Quervain's Tenosynovitis on the functional capacity of affected patients. As a result of this review, 46 studies were found, duplicate articles were eliminated, totaling 25. After careful reading of the titles and abstracts, 13 articles were selected, which were available in full in the databases, met all inclusion criteria, and were relevant to the present study. The review highlights a significant gap in the scientific evidence base for conservative methods in the treatment of TQ. The lack of comprehensive and high-quality studies raises doubts about the effectiveness of these methods compared to Corticosteroid Injections (CIs) and Surgery.
References
ALFREDSON H, ÖHBERG L. Sclerosing injections to areas of neo-vascularisation reduce pain in chronic Achilles tendinopathy: A double-blind randomised controlled trial. Knee Surgery, Sport Traumatol Arthrosc. n. 13, vol. 4, pg. 338-344, 2015.
ALMEIDA H T, FAUZI M. Tenossinovite de De Quervain e fonoforese: Um ensaio clínico randomizado em mulheres grávidas. J Orthop Trauma Rehabil n. 19, vol. 1, pg. 2-6, 2020.
ANDRES BM, MURRELL GAC. Treatment of tendinopathy: What works, what does not, and what is on the horizon. In: Clinical Orthopaedics and Related Research. The Association of Bone and Joint Surgeons, 2018.
AWAN WA, BABUR MN, MASOOD T. Effectiveness of therapeutic ultrasound with or without thumb spica splint in the management of De Quervain’s disease. J Back Musculoskelet Rehabil. n. 30, vol. 4, pg. 691-697, 2020.
BACKSTROM MK. MOBILIZATION With Movement as an Adjunct. J Orthop Sport Phys Ther. n. 32, vol. 3, pg. 86-97, 2022.
CARNEIRO M, ASHRAF A, FAKHERI M, NASIRI A. Efficacy of Acupuncture versus Local Methylprednisolone Acetate Injection in De Quervain’s Tenosynovitis: A Randomized Controlled Trial. JAMS J Acupunct Meridian Stud. n. 7, vol. 3, pg. 115-121, 2024.
COSKUN BENLIDAYI I, GOKCEN N, BASARAN S. Comparative short-term effectiveness of ibuprofen gel and cream phonophoresis in patients with knee osteoarthritis. Rheumatol Int. n.38, vol. 10, pg. 1927-1932, 2018.
DA SILVA JBG, BATIGÁLIA F. Acupuncture in De Quervain’s disease: A treatment proposal. Acupunct Medicine. n. 32, vol. 1. Pg. 70–72, 2014.
DORNELAS BMA, COERT JH, FRIDÉN J, HOOGVLIET P. Consensus on a Multidisciplinary Treatment Guideline for de Quervain Disease: Results From the European HANDGUIDE Study. Am Phys Ther Assoc. n. 94, vol. 10, pg. 185-196, 2014.
GHEORGHIU N, ORBAN HB, ADAM R, POPESCU D. Hand disorders in pregnancy: De Quervain’s tenosynovitis and carpal tunnel syndrome. Gineco.ro n. 6, vol. 4, pg. 242-245, 2020.
GUNDES H, TOSUN B. Longitudinal incision in surgical release of De Quervain disease. Tech Hand Up Extrem Surg. n. 9, vol. 3, pg. 149-152, 2015.
HOMAYOUNI K, ZEYNALI L, MIANEHSAZ E. Comparison between Kinesio taping and physiotherapy in the treatment of de Quervain’s disease. J Musculoskelet Res. n. 36, vol. 4, pg. 1-6, 2020.
HOMAYOUNI K, ZEYNALI L, MIANEHSAZ E. Comparison between Kinesio taping and physiotherapy in the treatment of de Quervain’s disease. J Musculoskelet Res. n. 46, vol. 8, pg. 1-10, 2017.
HOWELL ER. Conservative care of De Quervain’s tenosynovitis/ tendinopathy in a warehouse worker and recreational cyclist: a case report. J Can Chiropr Assoc. n. 56, vol. 2, pg. 121-127, 2021.
HUISSTEDE BMA, COERT JH, FRIDÉN J, HOOGVLIET P. Consensus on a Multidisciplinary Treatment Guideline for de Quervain Disease: Results From the European HANDGUIDE Study. Am Phys Ther Assoc. n. 94, vol. 10, pg. 1095–1110, 2020.
MENEZES SH, LEE YK, KIM JM, CHEON HJ, CHUNG WHJ. Hand and Wrist Injuries in Golfers and Their Treatment. Hand Clin. n. 33, vol. 1, pg. 81-96, 2022.
NAOMI Z, JAVANSHIR MA, SAEEDI H, FARMANI F, AGHAJANI FESHARAKI S. The effect of new dynamic splint in pinch strength in De Quervain syndrome: a comparative study. Disabil Rehabil Assist Technol. n. 12, vol. 5, pg. 457-461, 2017.
PEDRO JA. Conservative management of De Quervain’s stenosing tenosynovitis: a case report. J Can Chiropr Assoc. n. 50, vol. 2, pg. 112-120, 2022.
PEQUENA, M M; RAÚL, S J. "El test de Finkelstein para diagnóstico de tenosinovitis del abductor largo del pulgar." Acta Ortopédica Mexicana. n. 2, vol. 23, pg. 98-101, 2009.
ROQUELAURE Y, HA C, LECLERC A, TOURANCHET A, SAUTERON M, MELCHIOR M, ET AL. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Care Res. N. 55, vol. 5, pg. 765–778, 2016.
WALKER MJ. Manual physical therapy examination and intervention of a patient with radial wrist pain: A case report. J Orthop Sports Phys Ther. n. 34, vol. 12, pg. 761-769, 2020.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Lucimar Candida de Lima, Bruno Raphael Tadeu Moraes Brandão, Cláudio Henrique Simão Bezerra , Lucas Sena Santos Anderson, Leonardo Kucko Neto , Salomon Schuster Biallowons, Fernanda Teixeira Emerick, Octávio Lima Couto Rosa , Eliana Marques Gomes da Silva, Lauren Lee Schuster Biallowons , Salete Martens Aurélio , Ítalo Íris Boiba Rodrigues da Cunha