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Review

A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials

by
Antonio Frizziero
1,*,
Nicola Maffulli
2,
Chiara Saglietti
3,
Eugenio Sarti
3,
Davide Bigliardi
3,
Cosimo Costantino
3 and
Andrea Demeco
3
1
ASST “Gaetano Pini” CTO, 20122 Milano, Italy
2
Faculty of Medicine and Psychology, University La Sapienza, 49911 Rome, Italy
3
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy
*
Author to whom correspondence should be addressed.
J. Funct. Morphol. Kinesiol. 2024, 9(3), 146; https://doi.org/10.3390/jfmk9030146
Submission received: 20 July 2024 / Revised: 16 August 2024 / Accepted: 19 August 2024 / Published: 26 August 2024
(This article belongs to the Special Issue Innovations in Physical Medicine and Rehabilitation for the Treatment of Musculoskeletal Disorders)
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Abstract

Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the efficacy of injection techniques in the treatment of pain related to the main hand tendinopathies. We searched online medical databases (PubMed, Pedro, Cochrane Library, Scopus, and WoS). Only RCTs published in the last 10 years (up to 5 August 2024), written in English, and related to infiltrative treatment in wrist and hand tendinopathies were evaluated. The risk of bias in RCTs was assessed with Version 2 of the Cochrane Risk of Bias tool for randomized trials (RoB 2). Out of 641 articles identified, 23 were included in the final synthesis: 14 RCTs on trigger finger, and 9 RCTs on de Quervain’s tenosynovitis. The present systematic review showed that infiltrative therapy of trigger finger and de Quervain’s tenosynovitis constitutes a fundamental element in the treatment of these pathological conditions, in terms of pain reduction and improvement in the functionality of the hand.
Keywords: rehabilitation; hyaluronic acid; pain treatment; de Quervain’s tenosynovitis; trigger finger rehabilitation; hyaluronic acid; pain treatment; de Quervain’s tenosynovitis; trigger finger

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MDPI and ACS Style

Frizziero, A.; Maffulli, N.; Saglietti, C.; Sarti, E.; Bigliardi, D.; Costantino, C.; Demeco, A. A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials. J. Funct. Morphol. Kinesiol. 2024, 9, 146. https://doi.org/10.3390/jfmk9030146

AMA Style

Frizziero A, Maffulli N, Saglietti C, Sarti E, Bigliardi D, Costantino C, Demeco A. A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials. Journal of Functional Morphology and Kinesiology. 2024; 9(3):146. https://doi.org/10.3390/jfmk9030146

Chicago/Turabian Style

Frizziero, Antonio, Nicola Maffulli, Chiara Saglietti, Eugenio Sarti, Davide Bigliardi, Cosimo Costantino, and Andrea Demeco. 2024. "A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials" Journal of Functional Morphology and Kinesiology 9, no. 3: 146. https://doi.org/10.3390/jfmk9030146

APA Style

Frizziero, A., Maffulli, N., Saglietti, C., Sarti, E., Bigliardi, D., Costantino, C., & Demeco, A. (2024). A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials. Journal of Functional Morphology and Kinesiology, 9(3), 146. https://doi.org/10.3390/jfmk9030146

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