{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:23:06Z","timestamp":1793661786766,"version":"4.5.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2010,11,3]],"date-time":"2010-11-03T00:00:00Z","timestamp":1288742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p>Background: Previously described corticosteroid injection techniques for de Quervain tenosynovitis (DQT) refer to either 1-point or 2-point injection techniques, showing superiority of the latter.<\/jats:p>\n                  <jats:p>Hypothesis: The authors\u2019 novel 4-point injection technique (point 4 technique) yields more favorable results than do the older techniques.<\/jats:p>\n                  <jats:p>Study Design: Randomized controlled trial; Level of evidence, 2.<\/jats:p>\n                  <jats:p>Methods: The authors treated 2 groups (A and B), each including 24 high-resistance training individuals (randomly allocated to each group) with persistent DQT. Group A received the point 4 technique, and group B, the 2-point injection technique. Follow-up was in 2, 4, 8, and 52 weeks after the first treatment.<\/jats:p>\n                  <jats:p>Results: After 2 weeks of treatment, 7 group A patients were symptom-free, whereas the rest scored better than their group B counterparts on the DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure, of whom only 1 was symptom-free. Ten group A patients received repeated injections, in contrast to 19 from group B. Four weeks after the first treatment, 13 group A patients were symptom-free, in contrast to 4 from group B. In group A, 2 patients received repeated injections, in contrast to 20 in group B. Eight weeks after the first treatment, 1 group A patient received repeated injection. One group B patient relapsed, whereas 4 opted for surgical decompression and 16 received repeated injections. Fifty-two weeks after the first treatment, 21 patients in group A were symptom-free, 1 was operated on, and 2 relapsed; in group B, 12 were symptom-free, 9 were operated on, 3 relapsed, and 3 received repeated injections.<\/jats:p>\n                  <jats:p>Conclusion: In high-resistance training athletes, recalcitrant DQT responds more favorably to the novel point 4 technique than to the standard 2-point injection technique.<\/jats:p>","DOI":"10.1177\/0363546510382858","type":"journal-article","created":{"date-parts":[[2010,11,4]],"date-time":"2010-11-04T20:24:51Z","timestamp":1288902291000},"page":"398-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Improved Corticosteroid Treatment of Recalcitrant de Quervain Tenosynovitis With a Novel 4-Point Injection Technique"],"prefix":"10.1177","volume":"39","author":[{"given":"Thomas","family":"Pagonis","sequence":"first","affiliation":[{"name":"First Orthopaedic Department of Aristotle\u2019s University of Thessaloniki, General University Hospital Georgios Papanikolaou, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Ditsios","sequence":"additional","affiliation":[{"name":"First Orthopaedic Department of Aristotle\u2019s University of Thessaloniki, General University Hospital Georgios Papanikolaou, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paraskevi","family":"Toli","sequence":"additional","affiliation":[{"name":"Department of Science of Physical Education and Sports, Aristotle\u2019s University, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Givissis","sequence":"additional","affiliation":[{"name":"First Orthopaedic Department of Aristotle\u2019s University of Thessaloniki, General University Hospital Georgios Papanikolaou, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasios","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"First Orthopaedic Department of Aristotle\u2019s University of Thessaloniki, General University Hospital Georgios Papanikolaou, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,11,3]]},"reference":[{"issue":"3","key":"bibr1-0363546510382858","first-page":"232","volume":"86","author":"Apimonbutr P","year":"2003","journal-title":"J Med Assoc Thai"},{"issue":"3","key":"bibr2-0363546510382858","first-page":"242","volume":"26","author":"Capodaglio P","year":"2004","journal-title":"G Ital Med Lav 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