Therapeutic evaluation of quervain tendonitis - systematic review with meta-analysis systematic review with meta-analysis of randomized clinical trials

Аннотация

Objective: The aim of this study is to summarize the treatment of De Quervain's tenosynovitis, from a conservative point of view, by means of corticosteroid injection versus corticosteroid injection with immobilization of the thumb, establishing criteria for prognostic evaluation and a systematic review with meta-analysis. Methodology: Systematic review with meta-analysis registered under the prolific ID CRD42024557767. The research questions were defined using the PICOS model in accordance with the PRISMA guidelines. Results: 207 patients were included, of whom 103 underwent corticosteroid injection and 104 corticosteroid injection with immobilization. The studies analyzed in this systematic review showed better results in the Disabilities of Arm, Shoulder and Hand (DASH) assessment in the corticosteroid injection with immobilization group. Conclusion: Even though corticosteroid injections alone are considered a promising choice of conservative treatment, current evidence points to a multimodal approach, employing various non-surgical modalities associated with better results, studies show that the combination of thumb immobilization with corticosteroid injection is a first-line treatment for patients with De Quervain's tenosynovitis.