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