Frizziero Antonio, Maffulli Nicola, Saglietti Chiara, Sarti Eugenio, Bigliardi Davide, Costantino Cosimo, Demeco Andrea
ASST "Gaetano Pini" CTO, 20122 Milano, Italy.
Faculty of Medicine and Psychology, University La Sapienza, 49911 Rome, Italy.
J Funct Morphol Kinesiol. 2024 Aug 26;9(3):146. doi: 10.3390/jfmk9030146.
Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the efficacy of injection techniques in the treatment of pain related to the main hand tendinopathies. We searched online medical databases (PubMed, Pedro, Cochrane Library, Scopus, and WoS). Only RCTs published in the last 10 years (up to 5 August 2024), written in English, and related to infiltrative treatment in wrist and hand tendinopathies were evaluated. The risk of bias in RCTs was assessed with Version 2 of the Cochrane Risk of Bias tool for randomized trials (RoB 2). Out of 641 articles identified, 23 were included in the final synthesis: 14 RCTs on trigger finger, and 9 RCTs on de Quervain's tenosynovitis. The present systematic review showed that infiltrative therapy of trigger finger and de Quervain's tenosynovitis constitutes a fundamental element in the treatment of these pathological conditions, in terms of pain reduction and improvement in the functionality of the hand.
手部肌腱病是一种与严重残疾相关的病理状况。然而，由于治疗方法及其疗效的高度异质性，手部浸润治疗仍缺乏共识。本系统评价旨在研究注射技术在治疗主要手部肌腱病相关疼痛中的疗效。我们检索了在线医学数据库（PubMed、Pedro、Cochrane图书馆、Scopus和WoS）。仅对过去10年（截至2024年8月5日）发表的、英文撰写的、与手腕和手部肌腱病浸润治疗相关的随机对照试验进行评估。使用Cochrane随机试验偏倚风险工具第2版（RoB 2）评估随机对照试验中的偏倚风险。在确定的641篇文章中，23篇被纳入最终综合分析：14项关于扳机指的随机对照试验和9项关于桡骨茎突狭窄性腱鞘炎的随机对照试验。本系统评价表明，就减轻疼痛和改善手部功能而言，扳机指和桡骨茎突狭窄性腱鞘炎的浸润治疗是治疗这些病理状况的基本要素。
