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Efficacy of Local Intralesional Steroid Injection for Pain Relief in De Quervain's Tenosynovitis.
Cureus
November 2024
Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.
Introduction: Conservative treatment options, such as rest, massage, cold and heat packs, wrist splints, braces, physical therapy, thumb spica casts, and local steroid injections, have been used with mixed results to treat De Quervain's tenosynovitis. Surgical treatment, like releasing the first dorsal wrist compartment, is the last resort for resistant cases of De Quervain's tenosynovitis, exhibiting an efficacy of 91%. However, complications and increased expenses have limited the use of surgical interventions.
View Article and Find Full Text PDFUltrasound-Guided Nerve Blocks for Flexor Tenosynovitis.
POCUS J
November 2024
Department of Emergency Medicine, Cleveland Akron General Akron, OH USA.
Performing an ultrasound-guided nerve block (UGNB) is now common practice in many emergency departments (EDs) and is considered a core skill according to the American College of Emergency Physicians (ACEP). Nerve blocks are mostly utilized for fractures and laceration repairs, however, these blocks have many other applications. We present a case of utilizing an ulnar UGNB in a patient with flexor tenosynovitis and a history of intravenous drug use (IVDU) when parental opiates proved to be ineffective.
View Article and Find Full Text PDFClinical course and flare predictors in patients with rheumatoid arthritis in low disease activity and ultrasound remission monitored by ultrasound yearly and on-demand: A prospective 2-year observation study.
Reumatol Clin (Engl Ed)
December 2024
Department of Diabetes, Endocrinology and Clinical Immunology, School of Medicine, Hyogo Medical University, 1-1 Mukogawa-chou, Nishinomiya, Hyogo 663-8501, Japan.
Article Synopsis
- - The study focuses on understanding flare rates and predictors for patients with rheumatoid arthritis (RA) who are in ultrasound (US) remission and low disease activity (LDA), despite the increased use of ultrasound in monitoring the disease.
- - Out of 88 patients studied, those in US remission showed high rates of sustained remission, but 40% experienced flares over two years, often without noticeable clinical symptoms.
- - Key factors such as disease stage and C-reactive protein levels were linked to a shorter time before flares occurred, highlighting the importance of ongoing monitoring and tailored treatments to keep patients in remission and reduce flare-ups.
Advances in the management of psoriatic arthritis in adults.
BMJ
November 2024
University of Toronto, Psoriatic Arthritis Program, University Health Network, Toronto Western Hospital, Toronto, ON, Canada
Article Synopsis
- * Management starts with assessing the patient's skin and joints while screening for other health issues, followed by a mix of therapies like education, lifestyle changes, and physiotherapy.
- * Treatment options include non-steroidal anti-inflammatory drugs and disease-modifying therapies such as methotrexate and biologics, but there’s a need for better biomarkers to personalize these treatments for each patient.
SLE inflammatory musculoskeletal abnormalities, confirmed by MRI, show a specific profile with a worse health-related quality of life.
Lupus
January 2025
Rheumatology Department, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain.
Article Synopsis
- The study aimed to identify factors linked to MRI-confirmed musculoskeletal issues in patients with systemic lupus erythematosus (SLE) and how these issues affect health-related quality of life (HRQoL).
- Findings revealed that older SLE patients had a higher incidence of erosions and synovitis, while those with nephritis had lower rates of synovitis; treatment choices also varied based on specific musculoskeletal conditions.
- Patients presenting with synovitis, tenosynovitis, and other musculoskeletal problems reported significantly worse pain, fatigue, and functional outcomes, suggesting a negative impact on their overall HRQoL.
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