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Hindi Research Article
Ultrasonographic Evaluation and Treatment for Dequervain’s Disease
| Hiroyuki Shimizu* Moroe Beppu, Takeshi Arai, Toshihito Naito, Masahiro Tanaka, Takuya Sato and Hiroko Misawa | |
| Department of Orthopaedic Surgery, St Marianna University School of Medicine, Kawasaki, Japan | |
| Corresponding Author : | Hiroyuki Shimizu Department of Orthopaedic Surgery St. Marianna University School of Medicine Kawasaki, Kanagawa, Japan Tel No: +81-44-044-977-8111 Fax No: +81-44-044-977-9651 E-mail: h3simizu@marianna-u.ac.jp |
| Received March 08, 2014; Accepted June 19, 2014; Published June 26, 2014 | |
| Citation: Shimizu H, Beppu M, Arai T, Naito T, Tanaka M, et al. (2014) Ultrasonographic Evaluation and Treatment for Dequervain’s Disease. OMICS J Radiol 3:164. doi:10.4172/2167-7964.1000164 | |
| Copyright: © 2014 Shimizu H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
We performed ultrasonography in patients with de Quervain’s disease to examine the presence or absence of a septum and the extent of hypoechoic areas around tendons. We also compared the ultrasonographic findings with therapeutic outcomes. The subjects were 151 hands (96 conservatively-treated hands, 55 surgically-treated hands) of 146 patients who underwent ultrasonography at the time of initial examination or during treatment. We evaluated the presence or absence of a septum mainly on short axial images and the degree of tendon sheath thickening based on hypoechoic areas around the extensor pollicis brevis and abductor pollicis longus tendons. Among those with a septum and hypoechoic areas around these tendons, more hands were treated surgically, more injections were given, and the time-to-remission tended to be longer. Among those without a septum but with hypoechoic areas, there were more hands responding to conservative therapy. Among those with neither a septum nor a hypoechoic area, there were no surgically treated cases, and remission was obtained in the early stage. According to ultrasonographic findings indicating the presence or absence of a septum and hypoechoic areas, the subjects were classified into 4 types, and these types reflected the therapeutic effects.
