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

Intro

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

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

females aged 30 - 50 years old

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

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