{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T19:30:41Z","timestamp":1782588641131,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004319","name":"Shin Kong Hospital","doi-asserted-by":"publisher","award":["2020SKHADR036"],"award-info":[{"award-number":["2020SKHADR036"]}],"id":[{"id":"10.13039\/501100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Corticosteroid injection effectively treats de Quervain disease, and due to the high prevalence of the intracompartmental septum in the first extensor compartment, ultrasound guidance improves injection accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effectiveness, adverse events, and the recurrence rate between ultrasound\u2010guided and palpation\u2010guided injection in patients with de Quervain disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective, single\u2010blind, randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Rehabilitation department of a private teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>We enrolled 49 patients, \u226520\u2009years of age, clinically diagnosed with de Quervain disease based on their medical history and physical examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Patients were randomized into two groups: ultrasound\u2010guided and palpation\u2010guided injection. Both groups received a mixture of 10\u2009mg triamcinolone acetonide (10\u2009mg\/1\u2009mL) and 0.3\u2009mL 1% lidocaine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary outcome measure was the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score at 1\u2009week. The secondary outcome measures were visual analog scale for pain (pain VAS) score, patient satisfaction, and adverse events or complications from the interventions at 1\u2009week, 3\u2009months, and 6\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups showed improvement over time in QuickDASH scores and pain VAS (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001); however, no statistically significant differences were noted between the groups for either QuickDASH scores (<jats:italic>p<\/jats:italic>\u2009=\u2009.22) or pain VAS (<jats:italic>p<\/jats:italic>\u2009=\u2009.30). In addition, no statistically significant differences were found between the groups in terms of patient satisfaction (<jats:italic>p<\/jats:italic>\u2009=\u2009.76) and adverse events (<jats:italic>p<\/jats:italic>\u2009=\u2009.47, .33, .58) at the 1\u2010week, 3\u2010month, and 6\u2010month follow\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both ultrasound\u2010guided and palpation\u2010guided injections effectively treated de Quervain disease. During a 6\u2010month follow\u2010up, there were no statistically significant differences between the groups in pain relief, upper limb function, or patient satisfaction. However, the palpation\u2010guided group showed a tendency for more recurrence and skin side effects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13144","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T12:39:38Z","timestamp":1713789578000},"page":"948-958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ultrasound versus palpation\u2010guided corticosteroid injection for de Quervain disease: A randomized controlled trial"],"prefix":"10.1002","volume":"16","author":[{"given":"Ying\u2010Chen","family":"Kuo","sequence":"first","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Shin Kong Wu Ho\u2010Su Memorial Hospital  Taipei Taiwan"},{"name":"School of Medicine Fu Jen Catholic University  New Taipei City 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