Comparison of intralesional corticosteroid injection with and without thumb Spica cast for de-Quervain tenosynovitis.


  • Khawar Shahzad FMU, Faisalabad.
  • Rana Dawood Ahmad Khan FMU, Faisalabad.
  • Sajjad Iqbal FMU, Faisalabad.
  • Faisal Maqbool Zahid Government College University Faisalabad, Pakistan.
  • Mahwish Israr Social Security Hospital, Madina Town, Faisalabad.
  • Bushra Aslam Independent Medical College, Faisalabad.



de-Quervain Tenosynovitis


Objective: To compare efficacy of methyl prednisolone acetate injection with and without thumb spica cast for the treatment of de-Quervain tenosynovitis. Study Design: Randomized Controlled Trial. Setting: Orthopedic Unit, Allied Hospital, Faisalabad. Period: April 2016 to September 2016. Material & Methods: In each group 41 patients were included with non-probability consecutive sampling. Results: Eighty two patients were enrolled in the study. Out of 82 patients in the study, 3 (3.7%) were males and 79 (96.3%) were females. There were 10 (12.20%) pateints with age >40 years, and 36 (43.90%) patient in each of age group 21-30 and 31-40 years. The proportions of cured persons between two groups i.e., treated with corticosteroid injection and those treated with combination of injection and thumb Spica splint were found same with p-value 0.19 for Z=1.31. The efficacy was independent of treatment methods with χ2=1.10 (p-value = 0.30). The same independence pattern was also observed in different age groups. Age range was between 18 and 70 years. Statistical analysis was performed using chi-square test. Six weeks following treatment, 29 (35.37%) patients from group A and 34 (41.46%) patients from group B showed relief of pain, swelling and tenderness and a negative Finkelstein test (p-value 0.295). post stratification of gender showed no significant association (p-value 0.388 and 0.328 in groups A and B respectively). Conclusion: It has been concluded that use of corticosteroid injection alone is sufficient to treat de-Quervain syndrome as compared to the use of thumb Spica splint with corticosteroid injection. It is therefore recommended that in patients suffering from de-Quervain syndrome, corticosteroid injection may be the choice of treatment.

Author Biographies

Khawar Shahzad, FMU, Faisalabad.

FCPS (Ortho)

Senior Registrar Orthopaedics and Trauma

Rana Dawood Ahmad Khan, FMU, Faisalabad.

FCPS (Ortho)

Associate Professor Orthopaedics and Trauma


Sajjad Iqbal, FMU, Faisalabad.

FCPS (Ortho)

Senior Registrar Orthopaedics and Trauma


Faisal Maqbool Zahid, Government College University Faisalabad, Pakistan.

Post Doc (Germany)

Department of Statistics


Mahwish Israr, Social Security Hospital, Madina Town, Faisalabad.



Bushra Aslam, Independent Medical College, Faisalabad.

MBBS, M.Phil (Physiology)

Assistant Professor