Tuğba GÜN KOPLAY, Gokce YİLDİRAN, İbrahim ÇALTINER, Ahmet Rıfat DOĞRAMACI, Zekeriya TOSUN

Michigan El Anketine göre de Quervain tenosinovit için tedavi seçimi

Amaç: De Quervain's hastalığı birinci dorsal kompartmanın stenozan tenosinovitidir. Tedavi seçenekleri konservatif önlemler, enjeksiyonlar ve cerrahiyi içerir. Bu çalışmanın temel amacı, tedavi seçiminde belirsizliği ortadan kaldırmak ve Michigan el anketine dayalı olarak hastaya uygun tedaviyi önermektir. Gereç ve Yöntemler: Hastaların yaşı, cinsiyeti ve tedavi modaliteleri retrospektif olarak kaydedildi. Hastaların Michigan test sonuçları değerlendirildi ve hastalar üç gruba ayrıldı. Konservatif tedaviden (Grup 1), enjeksiyondan (Grup 2), cerrahiden fayda görenler (Grup 3). Verilerin İstatistiksel analizi yapıldı. Bulgular: Ellialtı hastanın (54 kadın, 2 erkek) yaş ortalaması 35,1±11,4 idi. El fonksiyonu ve ağrı skorlarında gruplar arasında fark vardı (p<0.05). Grup 1’deki hastalar diğer gruplardan analamlı olarak farrklıydı (p<0.05), grup 2 ile grup 3 arasında anlamlı fark yoktu (p>0.05). Sonuç: De Quervain tenosinovitinin tedavisi için çeşitli yöntemler tanımlanmıştır. Doğru hastalar için doğru terapötik adımları seçmek önemlidir. Michigan El Anketi ile genel el fonksiyonlarını ve günlük yaşam aktivitelerini değerlendirerek tedavi seçeneklerini seçmek mümkündür.

Anahtar Kelimeler:

De Quervain, Michigan hand questionnaire, treatment selection

Treatment selection for de Quervain's tenosynovitis based on the Michigan’s Hand Questionnaire

Objective: De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment. Treatment options include conservative measures, injections, and surgery. The main purpose of this study is to eliminate uncertainty in the choice of treatment and to recommend the appropriate treatment to the patient based on Michigan hand questionnaire. Material and Methods: The age, sex, and treatment modality of the patients were recorded retrospectively. Patients' Michigan outcomes were assessed, and patients were divided into three groups: Patients who benefited from conservative treatments (Group 1), from injections (Group 2), and from surgery (Group 3). Statistical analysis of the data was performed. Results: The mean age of the 56 patients (54 women, 2 men) was 35.1±11.4 years. There was a difference between all groups in total hand function and pain scores (p < 0.05). Patients in group 1 were significantly different from the other groups (p < 0.05), and there was no significant difference between group 2 and group 3 (p > 0.05). Conclusion: Various methods have been described for De Quervain's tenosynovitis’s treatment. Choosing the right therapeutic steps for the right patients is important. It is possible to select treatment options by assessing overall hand function and activities of daily living with the Michigan Hand Outcome Questionnaire

Keywords:

De Quervain, Michigan hand questionnaire, treatment selection,

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Allbrook V. 'The side of my wrist hurts': De Quervain's tenosynovitis. Aust J Gen Pract 2019; 48:753-756.
Kazmers NH, Liu TC, Gordon JA, Bozentka DJ, Steinberg DR, Gray BL. Patient- and Disease-Specific Factors Associated With Operative Management of de Quervain Tendinopathy. J Hand Surg Am 2017;42:931.e1-931.e7.
Scheller A, Schuh R, Honle W, Schuh A. Long-term results of surgical release of de Quervain’s stenosing tenosynovitis. Int Orthop 2009;33:1301e1303.
Marks M. Which patient-reported outcomes shall we use in hand surgery? J Hand Surg Eur Vol 2020 ;45:5-11.
Look N, Mcnulty M, Rodriguez-Fontan F, Fenoglio AK. Radial-sided wrist pain differentials: presentation, pathoanatomy, diagnosis, and management. Medicina (B Aires) 2023;83:96-107.
Kachooei AR, Nota SP, Menendez ME, Dyer GS, Ring D. Factors associated with operative treatment of de Quervain tendinopathy. Arch Bone Jt Surg 2015;3:198e203.
Abi-Rafeh J, Kazan R, Safran T, Thibaudeau S. Conservative Management of de Quervain Stenosing Tenosynovitis: Review and Presentation of Treatment Algorithm. Plast Reconstr Surg 2020;146:105-126.
Blackburn J, van der Oest MJW, Chen NC, Feitz R, et al. Hand-Wrist Study Group. Are Patient Expectations and Illness Perception Associated with Patient-reported Outcomes from Surgical Decompression in de Quervain's Tenosynovitis? Clin Orthop Relat Res 2021;479:1147-1155.