Abstract: Background: De Quervain disease is a condition that is known to be the reason for lateral side wrist pain. it is more frequently happens with people that do heavy manual jobs like housewives, and butchers. Despite there being controversy in the management of De Quervain's tenosynovitis, but conservative management, includes corticosteroid injections combined with a lidocaine into the first dorsal compartment and surgical release of the first dorsal compartment. Through an oblique incision are considered a beneficial treatment.
Objective: The aim of this study is to compare between the effectiveness of local corticosteroid injection and open surgical release in the treatment of De Quervain disease in terms of symptomatic relief, patient satisfaction and complications,
Patients and Methods: The study is a prospective study carried out at Krishna Institute of medical sciences from April 2021 to October 2022. A total number of patients were Fifty patients with De Quervain disease, were grouped randomly into two groups; the first group consisted of twenty-Five patients who were treated with local corticosteroid injection, and the second group consisted of twenty-Five patients who were managed by surgical decompression. The recurrence rate and satisfaction after intervention were investigated in both groups using the 10-point visual analog scale (VAS).
Results: in this study, there were Forty females and Ten males with a female-to-male ratio (4). Group 1 consisted of Twenty-Five patients treated with local injection of the first dorsal compartment. 15 out of the twenty patients treated with this method were very satisfied, 5 were satisfied, 4 dissatisfied and 1 was very dissatisfied. Group 2 consisted of Twenty-Five patients treated by surgical Release. 20 out of the Twenty Five were very satisfied with the outcome. 3 were satisfied with the outcome and 2 were dissatisfied.
Conclusion: Surgical release comes with better outcomes with cases having De Quervain tenosynovitis that fails to respond to local injection.
