Intra-sheath vs Extra-sheath Injection for De Quervain's Tenosynovitis

Description

The aim of the study is to determine whether or not extra-sheath steroid injections are inferior to intra-sheath steroid injections in the treatment of DeQuervain's Tenosynovitis. Patients will be randomized to either the intra-sheath group or the extra-sheath group and their pre-injection level of pain will be assessed using the visual analog scale. Appropriate injections will then be administered by 1 of 3 UC Davis hand surgeons. Six weeks post injection the patients will be reassessed using the visual analog scale and their score at 6 weeks will be compared to their pre-injection score.

Conditions

De Quervain Tenosynovitis

Study Overview

Study Details

Study overview

The aim of the study is to determine whether or not extra-sheath steroid injections are inferior to intra-sheath steroid injections in the treatment of DeQuervain's Tenosynovitis. Patients will be randomized to either the intra-sheath group or the extra-sheath group and their pre-injection level of pain will be assessed using the visual analog scale. Appropriate injections will then be administered by 1 of 3 UC Davis hand surgeons. Six weeks post injection the patients will be reassessed using the visual analog scale and their score at 6 weeks will be compared to their pre-injection score.

Intra-sheath vs Extra-sheath Injection for De Quervain's Tenosynovitis

Intra-sheath vs Extra-sheath Injection for De Quervain's Tenosynovitis

Condition
De Quervain Tenosynovitis
Intervention / Treatment

-

Contacts and Locations

Sacramento

UC Davis Health, Department of Orthopaedics, Sacramento, California, United States, 95817

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Signed informed consent from the patient exclusively and not a legal representative
  • * Clinically diagnosed with De Quervain's
  • * VAS score of at least 40mm pre-injection
  • * Life expectancy greater than 1 year
  • * Having previously undergone steroid injection in the treatment of De Quervain's
  • * Having previously undergone surgery for De Quervain's in the affected wrist
  • * Having previously undergone steroid injection and failed in the treatment of trigger finger
  • * Allergies to lidocaine or dexamethasone
  • * Underlying serious medical conditions that would place the patient at risk
  • * Past history of hypothyroidism or rheumatoid arthritis
  • * Pregnant women
  • * Prisoners

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of California, Davis,

Christopher O Bayne, MD, PRINCIPAL_INVESTIGATOR, University of California, Davis

Study Record Dates

2025-06-01