Effectiveness of Interventions of Specific Complaints of the Arm, Neck, and/or Shoulder: 3 Musculoskeletal Disorders of the Hand. An Update

Bionka Huisstede, Marienke van Middelkoop, MS (Manon) Randsdorp, Suzanne Glerum, Bart Koes

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Abstract

Huisstede BM, van Middelkoop M, Randsdorp MS, Glerum S. Koes BW. Effectiveness of interventions of specific complaints of the arm, neck, and/or shoulder: 3 musculoskeletal disorders of the hand. An update. Arch Phys Med Rehabil 2010;91:298-314. Objectives: To provide an evidence-based overview of the effectiveness of conservative and surgical interventions for trigger finger, Dupuytren's, and De Quervain's diseases. Data Sources: The Cochrane Library, PEDro, Pub Med, Embase, and CINAHL were searched to identify relevant studies. Study Selection: Two reviewers independently applied the inclusion criteria to select potential relevant studies from the title and abstracts of the references retrieved by the literature search. Relevant (Cochrane) reviews and randomized controlled trials (RCTs) were included. Data Extraction: Two reviewers independently extracted the data and performed a methodologic quality assessment. Data Synthesis: A best-evidence synthesis was performed to summarize the results of the included trials. One Cochrane review (trigger finger) and 13 RCTs (trigger finger [6], Dupuytren's [4], De Quervain's [3]) were included. The trials reported on physiotherapy (De Quervain's), steroid injections (trigger finger, De Quervain's), surgical treatment (trigger finger, De Quervain's), and a postsurgical treatment (Dupuytren's). For trigger finger, moderate evidence was found for the effectiveness of steroid injections in the short-term (1-4wk) but not for long-term outcomes. Limited evidence was found for the effectiveness of staples compared with sutures in skin closure and for intermittent compression after surgery to treat Dupuytren's disease. For other interventions, no evidence was found. Conclusions: Indications for effectiveness of some interventions for trigger finger, Dupuytren's, and De Quervain's diseases were found. Because only a few RCTs were identified, it is difficult to draw firm conclusions. High-quality RCTs are clearly needed in this field.
Original languageUndefined/Unknown
Pages (from-to)298-314
Number of pages17
JournalArchives of Physical Medicine and Rehabilitation
Volume91
Issue number2
DOIs
Publication statusPublished - 2010

Research programs

  • EMC MUSC-01-46-01
  • EMC NIHES-02-67-01

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