Article

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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, PubMed, Embase,
and CINAHL were searched to identify relevant studies. STUDY : 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 (1-4 wk) 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.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS