Orthopedics Medical News about Musculoskeletal Disorders of the Hand

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Effectiveness of Interventions of Specific Complaints of the Arm, Neck, or Shoulder (CANS): Musculoskeletal Disorders of the Hand
The Clinical Journal of Pain, 06/23/09

van Middelkoop M et al. - For primary Raynaud's phenomenon (1 review, 20 RCTs), the authors found strong evidence for calcium channel blockers and moderate evidence for laser therapy. Limited evidence was found for Ketanserin, Prozasin, Buflomedil, transdermal glyceryl trinitrate patches, Ginkgo biloba, and behavioral treatment with temperature feedback. Other interventions did not show clear favorable treatment effects. For Trigger finger one very small RCT was found that showed limited evidence for steroid injection. For Dupuytren disease (4 RCTs) limited evidence was found in favor of use of staples versus sutures in the Dupuytren's surgery, and for intermittent compression on the postoperative hand after surgery. For other interventions no clear positive effects could be demonstrated. For De Quervain's disease (2 RCTs), the authors found no efficacy of Nimesulide as addition to a Triamcinolone injection, and no clear differences between a corticosteroid injection and a splint in pregnant patients or patients breast-feeding.

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