Ultrasound-guided methotrexate injection for De Quervain disease of the wrist: what lies beyond the horizon?

被引：3

作者：

Allam, Abdallah El-Sayed ^{[1
]}

Al-Ashkar, Doaa Shawky ^{[1
]}

Negm, Ahmed A. ^{[2
]}

Eltawab, Basma Aly ^{[3
]}

Wu, Wei-Ting ^{[4
]}

Chang, Ke-Vin ^{[4
]}

机构：

[1] Tanta Univ, Dept Phys Med Rheumatol & Rehabil, Tanta Univ Hosp, Fac Med, Tanta, Egypt

[2] Al Azhar Univ, Dept Phys Med Rheumatol & Rehabil, Fac Med, Cairo, Egypt

[3] Tanta Univ Hosp, Dept Radiol, Tanta, Egypt

[4] Natl Taiwan Univ Hosp, Bei Hu Branch, Dept Phys Med & Rehabil, Taipei, Taiwan

来源：

JOURNAL OF PAIN RESEARCH | 2017年 / 10卷

关键词：

hand; pain; sonography; rehabilitation; 1ST EXTENSOR COMPARTMENT; INTRAARTICULAR METHOTREXATE; RHEUMATOID-ARTHRITIS; TENOSYNOVITIS;

D O I：

10.2147/JPR.S143256

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

De Quervain disease (DQVD) is one of the most common causes of lateral wrist pain and can lead to significant disability. The current case involves a right-handed, middle-aged, female patient with severe lateral wrist pain due to DQVD. Her pain was not responsive to oral non-steroidal anti-inflammatory drugs, rehabilitation, and repeated corticosteroid injections. Because she refused surgical intervention, we performed ultrasound-guided methotrexate injections (four times). After the injections, dramatic pain relief, functional improvement, and reduction of the thickness of the retinaculum and tendons in the first dorsal extensor compartment of the wrist were noted. This case report highlights the potential usefulness of ultrasound-guided methotrexate injection for recalcitrant DQVD of the wrist.

引用

页码：2299 / 2302

页数：4

共 27 条

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