Triamcinolone acetonide injection in de Quervain Tenosynovitis de Quervain Tenosynovitis, Triamcinolone acetonide injection, TA injection
Conditions
Interventions
1.The 10 mg triamcinolone acetonide medication prepared by mixing 0.5 ml of 1% Xylocaine
without adrenaline with 1 ml of 10 mg/ml triamcinolone acetonide
2. Before an injection, the skin and subcu
Active Comparator Drug,Active Comparator Drug
10 mg of triamcinolone acetonide group, 20 mg of triamcinolone acetonide group
Sponsors
Mahavajiralongkorn Phramongkutklao Hospital Foundation
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Patient older than 20 years of age who have diagnosed with de Quervain tenosynovitis 2.Patient who have diagnosed with de Quervain tenosynovitis who have not previously been treated with steroid injections
Exclusion criteria
Exclusion criteria: 1. Patients who had underlying inflammatory joint diseases such as rheumatoid arthritis, gouty arthritis or autoimmune disease 2. 1st CMC joint arthritis and STT joint arthritis 3. Injury to the involved wrist 4. Who had history of wrist fracture 5. Previous surgery at wrist 6. Abnormal sensation of hand 7. History of an allergy to triamcinolone acetonide or lidocaine 8.Patients who do not have a communication device that can use face-to-face calling and cannot follow up on treatment at outpatient department orthopedic division Phramongkutklao Hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain at 3 week, 6 weeks, 3 months, 6 months after end of the intervention use numerical rating scale between 0 to 10 for describe pain on the radial side of the wrist,Tenderness at 3 week, 6 weeks, 3 months, 6 months after end of the intervention palpate at the first dorsal compartment,Finkelstein test at 3 week, 6 weeks, 3 months, 6 months after end of the intervention bend the thumb across the palm of hand and bend the fingers down over the thumb. then bend the wrist toward the little finger | — |
Secondary
| Measure | Time frame |
|---|---|
| Complication: skin atrophy at 3 week, 6 weeks, 3 months, 6 months after end of the intervention skin at injection area atrophy,Complication: hypopigmentation at 3 week, 6 weeks, 3 months, 6 months after end of the intervention skin at injection area lose pigmentation ,Complication: radial nerve injury at 3 week, 6 weeks, 3 months, 6 months after end of the intervention abnormal sensations in the back and thumb side of the hand, or in the thumb, 2nd, and 3rd fingers,Complication: tendon rupture at 3 week, 6 weeks, 3 months, 6 months after end of the intervention can not extend or abduction of the thumb | — |
Countries
Thailand
Contacts
Public ContactPawinee Theekakul
Phramongkutklao College of Medicine; Royal Thai Army Nursing College
Outcome results
None listed