Journal de radiologie OMICS

Abstrait

Ultrasonographic Evaluation and Treatment for Dequervain’s Disease

Hiroyuki Shimizu, Moroe Beppu, Takeshi Arai, Toshihito Naito, Masahiro Tanaka, Takuya Sato and Hiroko Misawa

We performed ultrasonography in patients with de Quervain’s disease to examine the presence or absence of a septum and the extent of hypoechoic areas around tendons. We also compared the ultrasonographic findings with therapeutic outcomes. The subjects were 151 hands (96 conservatively-treated hands, 55 surgically-treated hands) of 146 patients who underwent ultrasonography at the time of initial examination or during treatment. We evaluated the presence or absence of a septum mainly on short axial images and the degree of tendon sheath thickening based on hypoechoic areas around the extensor pollicis brevis and abductor pollicis longus tendons. Among those with a septum and hypoechoic areas around these tendons, more hands were treated surgically, more injections were given, and the time-to-remission tended to be longer. Among those without a septum but with hypoechoic areas, there were more hands responding to conservative therapy. Among those with neither a septum nor a hypoechoic area, there were no surgically treated cases, and remission was obtained in the early stage. According to ultrasonographic findings indicating the presence or absence of a septum and hypoechoic areas, the subjects were classified into 4 types, and these types reflected the therapeutic effects.