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Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the efficacy of injection techniques in the treatment of pain related to the main hand tendinopathies. We searched online medical databases (PubMed, Pedro, Cochrane Library, Scopus, and WoS). Only RCTs published in the last 10 years (up to 5 August 2024), written in English, and related to infiltrative treatment in wrist and hand tendinopathies were evaluated. The risk of bias in RCTs was assessed with Version 2 of the Cochrane Risk of Bias tool for randomized trials (RoB 2). Out of 641 articles identified, 23 were included in the final synthesis: 14 RCTs on trigger finger, and 9 RCTs on de Quervain's tenosynovitis. The present systematic review showed that infiltrative therapy of trigger finger and de Quervain's tenosynovitis constitutes a fundamental element in the treatment of these pathological conditions, in terms of pain reduction and improvement in the functionality of the hand.
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http://dx.doi.org/10.3390/jfmk9030146 | DOI Listing |
Pain Med Case Rep
August 2025
Hacettepe University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
Background: Although cases of tenosynovitis associated with foreign bodies are documented in the literature, there is no reported instance of the treatment of foreign body-associated tenosynovitis with ultrasound (US)-guided steroid injection. The use of corticosteroid injection under US guidance for flexor tenosynovitis associated with foreign bodies is a noteworthy subject.
Case Report: In this case report, we present the contribution of US-guided targeted steroid injection to the treatment of flexor tenosynovitis of the third finger of the left hand associated with a foreign body.
J Orthop Surg Res
August 2025
Department of Orthopaedics, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Children's Hospital, 33 Longhu Waihuan East Road, Henan, Zhengzhou, 450018, China.
Background: This study aimed to compare clinical outcomes in patients with trigger thumb who underwent A1 pulley release, with or without postoperative thumb immobilization.
Methods: We retrospectively analyzed 207 patients with trigger thumb, comprising 97 in the splinted group and 110 in the non-splinted group, who underwent surgical treatment at our center. Recurrence rates, differences in extension angles between affected and unaffected interphalangeal (IP) joints, and postoperative complications were compared between the two groups.
Acta Chir Orthop Traumatol Cech
August 2025
Anatomicky ustav 1. lekarske fakulty Univerzity Karlovy, Praha.
Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target.
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July 2025
Klinika detske a dospele ortopedie a traumatologie 2. lekarske fakulty Univerzity Karlovy a Fakultni nemocnice v Motole, Praha.
Purpose Of The Study: The study evaluates the functional outcomes of the treatment of pediatric trigger digits in two centers and compares them with data from the available literature. The secondary objective is to verify the possibilities of collecting data on patients' health status through questionnaire surveys using remote communication via a web interface.
Material And Methods: Patients operated on at the Hand and Plastic Surgery Institute in Vysoké nad Jizerou (ÚCHRaPCH) and the Motol University Hospital, Department of Orthopaedics (FNM) between 2018 and 2021 were evaluated.
Hand Surg Rehabil
August 2025
Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Purpose: Suspension arthroplasty using the abductor pollicis longus (APL) tendon is widely performed for advanced trapeziometacarpal (TMC) arthritis. The hammock method involves wrapping the APL tendon around the flexor carpi radialis (FCR) tendon for suspension. Although outcomes are generally favorable, FCR tendon-related complications-such as tendinitis and rupture-have been reported, though detailed analyses remain limited.
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