Ultrasound-guided Intervention and Hand Tenosynovitis in Patients With Diabetes Mellitus

Al-Azhar University

Status

Completed

Conditions

Ultrasound Guided Injection

Treatments

Procedure: ultrasound guidance

Study type

Interventional

Funder types

Other

Identifiers

NCT03789526

REC-AFMG 2018/6

Details and patient eligibility

About

Evaluates the efficacy of ultrasound guided versus clinically guided steroid injection in the management of tenosynovitis in DM patients.

Full description

The current study will based on follow up study, conducted among patients presenting at outpatient rheumatology clinics of Al-Azhar University Hospitals, Egypt. with Diabetes mellitus duration at least 3 years and tenosynovitis of hand tendons with Richie tenderness grade 3.

All patients will randomized in two groups: Group one: 26 patients DM patients with tenosynovitis were injected by triamcinolone under ultrasound guidance. Group two: 26 patients DM patients with tenosynovitis were injected by triamcinolone under clinical guidance.

The affected tendons will scanned and scored for inflammation using ultrasound in all patients before the triamcinolone injection and then to be reassessed one month after the injection to determine the change in the tendons in both groups.

Enrollment

52 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

• Diabetes mellitus.
- Disease duration 3 years or more.
- Tenosynovitis of hand tendons with Richie tenderness grade 3.

Exclusion criteria

• Patients with recent hand trauma.
- Patients with inflammatory hand arthritis.
- Previous tendon surgery.
- Previous tendon injection.
- Patients with contraindication for injection as related infection, uncontrolled DM or bleeding tendency.