Changes In The Radial Styloid Bone: Can They Affect The Choice Of Treatment Method In De-Quervaın Tenosynovitis?

Research Article

Abstract

Introduction: De Quervain tenosynovitis is a stenosing tenosynovitis of the Abductor Pollicis Longus (APL) and M. Extensor Pollicis Brevis (EPB) tendons located in the 1st dorsal compartment of the wrist, under the dorsal carpal ligament and radial tunnel. This research aimed to define and investigate the radial styloid bone changes and to evaluate which treatment option was applied to patients with bone changes.

Method: A total of 55 patients with De Quervain tenosynovitis were included in this study. Two separate radiologists analyzed the anterior-posterior wrist radiographs of patients at different times to investigate and define the radial styloid bone changes and evaluate which treatment option was applied to patients with radial styloid bone changes. The impact of treatment was assessed to determine the extent to which the appropriate treatment option can be decided for patients via X-ray.

Results: According to radiological imaging findings, changes were detected in the radial styloid bone in 72.2% of the patients, while no such changes were observed in 27.8%. The analyses show no significant relationship between X-ray findings and pre-FTR status, conservative or surgical treatment (p>0.05). The age variable was statistically significant in predicting X-ray changes (p = 0.049). The probability of X-ray changes increases with age (p = 0.049), which shows that age is an essential factor in X-ray changes.

Conclusion: Regarding the outcomes of this research, the age variable was statistically significant in predicting X-ray changes. The probability of X-ray changes increases with age, which shows that age is an essential factor in X-ray changes.