{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:29:36Z","timestamp":1781299776280,"version":"3.54.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003The routine use of plain radiography represents a significant expenditure and has been proven unnecessary in several orthopedic conditions. The utility of plain radiographs in the diagnosis of De Quervain's tenosynovitis (DeQ) is not clear.<\/jats:p><jats:p>Questions\/Purpose\u2003This study evaluates whether plain radiographic findings routinely predict the need for surgery or alter treatment courses in the initial diagnosis of DeQ.<\/jats:p><jats:p>Patients and Methods\u2003A total of 200 patients who received wrist X-rays and had a diagnosis of DeQ were retrospectively selected at random. Their images were evaluated for relevant findings, including radial styloid abnormalities, arthritis, and tendon calcification. A chart review was performed to determine whether these X-rays altered the treatment courses.<\/jats:p><jats:p>Results\u2003Of the 200 patients, 141 (69.1%) cases had at least one positive radiographic finding. Carpometacarpal joint (CMC) arthritis was the most common finding, seen in 63 (30.9%) cases. Of all patients, 141 (69.1%) were treated with corticosteroid injection only, 54 (26.5%) with corticosteroid injection and ultimately surgery, and 9 (4.4%) with surgery alone. There were no significant differences in the rates of surgery with positive X-ray findings. There were no cases in which radiographic findings resulted in a change in management, per the report of the treating physician.<\/jats:p><jats:p>Conclusions\u2003Despite the high proportion of positive findings on X-ray, no radiographic findings altered the course of treatment in patients with isolated DeQ. Obtaining plain radiographs for isolated DeQ represents a significant cost and should be reserved for cases in which the results are preemptively deemed likely to influence the treatment course.<\/jats:p><jats:p>Level of Evidence\u2003This is a level IV study.<\/jats:p>","DOI":"10.1055\/s-0040-1716522","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T23:11:38Z","timestamp":1602889898000},"page":"048-052","source":"Crossref","is-referenced-by-count":7,"title":["Are Plain X-Rays Necessary in the Diagnosis of De Quervain's Tenosynovitis?"],"prefix":"10.1055","volume":"10","author":[{"given":"Tyler W.","family":"Henry","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob E.","family":"Tulipan","sequence":"additional","affiliation":[{"name":"Division of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro K.","family":"Beredjiklian","sequence":"additional","affiliation":[{"name":"Division of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas L.","family":"Matzon","sequence":"additional","affiliation":[{"name":"Division of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin F.","family":"Lutsky","sequence":"additional","affiliation":[{"name":"Division of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/S0363-5023(05)80190-X","article-title":"The use of routine wrist radiography in the evaluation of patients with carpal tunnel syndrome","volume":"22","author":"R R Bindra","year":"1997","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/BF02596320","article-title":"Lumbar spine films in primary care: current use and effects of selective ordering criteria","volume":"1","author":"R A Deyo","year":"1986","journal-title":"J Gen Intern Med"},{"issue":"05","key":"ref3","first-page":"449","article-title":"Cost of care for ambulatory patients with low back pain","volume":"40","author":"A C Liu","year":"1995","journal-title":"J Fam 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of de Quervain's tenosynovitis","volume":"61","author":"M Kamel","year":"2002","journal-title":"Ann Rheum Dis"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S1064-9689(21)00166-5","article-title":"MR diagnosis of tenosynovitis about the wrist","volume":"3","author":"J D Klug","year":"1995","journal-title":"Magn Reson Imaging Clin N Am"}],"container-title":["Journal of Wrist 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