Evaluates the efficacy of ultrasound guided versus clinically guided steroid injection in the management of tenosynovitis in DM patients.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
ultrasound guidance of tendon injection
Al-Azhar university hospitals
Cairo, Egypt
change in Tenosynovitis pain
changes in VAS scale for pain,
Time frame: one month
change in Tenosynovitis tenderness
changes in Richie index for tenderness.
Time frame: one month
changes in ultrasound images of the Tenoasynovitis.
changes in Gery scale images, and power Doppler images of the tendons
Time frame: one month
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