All::Rheumatology::Diseases::De Quervain's tenosynovitis

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What is De Quervain's tenosynovitis?

a common condition in which the sheath containing the extensor pollicis brevis and abductor pollicis longus tendons is inflamed

De Quervain's tenosynovitis

What patient groups is De Quervain's tenosynovitis most common?

females aged 30 - 50 years old

De Quervain's tenosynovitis

What are the main clinical features of De Quervain's tenosynovitis?

  • pain on the radial side of the wrist
  • tenderness over the radial styloid process
  • abduction of the thumb against resistance is painful

De Quervain's tenosynovitis

What is the management of De Quervain's tenosynovitis?

  • analgesia
  • steroid injection
  • immobilisation with a thumb splint (spica) may be effective
  • surgical treatment is sometimes required

De Quervain's tenosynovitis