Ultrasonographic Evaluation and Treatment for Dequervain’s Disease
|Hiroyuki Shimizu* Moroe Beppu, Takeshi Arai, Toshihito Naito, Masahiro Tanaka, Takuya Sato and Hiroko Misawa
|Department of Orthopaedic Surgery, St Marianna University School of Medicine, Kawasaki, Japan
|Corresponding Author :
Department of Orthopaedic Surgery
St. Marianna University School of Medicine
Kawasaki, Kanagawa, Japan
Tel No: +81-44-044-977-8111
Fax No: +81-44-044-977-9651
|Received March 08, 2014; Accepted June 19, 2014; Published June 26, 2014
|Citation: Shimizu H, Beppu M, Arai T, Naito T, Tanaka M, et al. (2014) Ultrasonographic Evaluation and Treatment for Dequervain’s Disease. OMICS J Radiol 3:164. doi:10.4172/2167-7964.1000164
|Copyright: © 2014 Shimizu H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We performed ultrasonography in patients with de Quervain’s disease to examine the presence or absence of a septum and the extent of hypoechoic areas around tendons. We also compared the ultrasonographic findings with therapeutic outcomes. The subjects were 151 hands (96 conservatively-treated hands, 55 surgically-treated hands) of 146 patients who underwent ultrasonography at the time of initial examination or during treatment. We evaluated the presence or absence of a septum mainly on short axial images and the degree of tendon sheath thickening based on hypoechoic areas around the extensor pollicis brevis and abductor pollicis longus tendons. Among those with a septum and hypoechoic areas around these tendons, more hands were treated surgically, more injections were given, and the time-to-remission tended to be longer. Among those without a septum but with hypoechoic areas, there were more hands responding to conservative therapy. Among those with neither a septum nor a hypoechoic area, there were no surgically treated cases, and remission was obtained in the early stage. According to ultrasonographic findings indicating the presence or absence of a septum and hypoechoic areas, the subjects were classified into 4 types, and these types reflected the therapeutic effects.