Geethan K S Anandha, Arumugam A K, Nath S H Syam, Kumar Venkatesh, Venkatesh Rohini
Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.
Department of Neurosurgery, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.
J Orthop Case Rep. 2025 May;15(5):279-284. doi: 10.13107/jocr.2025.v15.i05.5634.
The purpose of this study was to evaluate the functional outcome of population characteristics in South Indian patients with chronic De Quervain's Tenosynovitis.
This prospective study was conducted in a tertiary care hospital in South India. A total of fifty chronic dequervain's tenosynovitis patients were included in the study after getting clearance from the ethical committee. The main outcome measures data were VAS and DASH scores among the variables such as age, size, gender and occupation in all our patients.
By considering VAS score and DASH scores postsurgery, patients aged < 45 years of age, patients with nondominant hand involvement complaints, and homemakers had greater reductions in pain scores yet statistically insignificant. The female patients had a good reduction in DASH score postsurgery, which was statistically insignificant. However, males had a greater reduction in pain scores postsurgery females, and the difference was statistically significant.By considering VAS score and DASH scores poststeroid instillation, patients aged more than or equal to 45 years of age, males, patients with dominant hand complaints, and patients who were employed had a greater reduction in pain score following steroid therapy. However, the difference is not statistically significant.
Male patients, nondominant side involvement, and younger patients (age < 45 years) appear to fare well in both the surgical and steroid instillation groups. However, the employed patients do well after receiving a steroid injection, and the homemakers appear to do well in the postsurgery group.
本研究的目的是评估南印度慢性桡骨茎突狭窄性腱鞘炎患者群体特征的功能结局。
这项前瞻性研究在印度南部的一家三级护理医院进行。在获得伦理委员会批准后,共有50例慢性桡骨茎突狭窄性腱鞘炎患者纳入研究。主要结局指标数据是所有患者年龄、患病部位、性别和职业等变量中的视觉模拟评分(VAS)和上肢功能障碍评分(DASH)。
考虑术后VAS评分和DASH评分,年龄<45岁的患者、非优势手受累的患者以及家庭主妇的疼痛评分降低幅度更大,但无统计学意义。女性患者术后DASH评分有较好降低,但无统计学意义。然而,男性患者术后疼痛评分降低幅度大于女性患者,差异有统计学意义。考虑类固醇注射后的VAS评分和DASH评分,年龄大于或等于45岁的患者、男性、优势手受累的患者以及就业患者在接受类固醇治疗后疼痛评分降低幅度更大。然而,差异无统计学意义。
男性患者、非优势侧受累以及年轻患者(年龄<45岁)在手术组和类固醇注射组中似乎预后良好。然而,就业患者在接受类固醇注射后情况良好,家庭主妇在术后组中似乎情况良好。