De Quervain's tenosynovitis is inflammation of tendons on the side of the wrist at the base of the thumb. Hazani R, Engineer NJ, Cooney D, Wilhelmi BJ. The tendons of the abductor pollicis longus and the extensor pollicis brevis are tightly secured against the radial styloid by the overlying extensor retinaculum. Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. doi: 10.1016/j.apmr.2017.07.014. All rights reserved. This is the main symptom. You might feel: [ 5 ] Surgeons have had more than 100 years of experience with de Quervain tenosynovitis. Cavaleri R, Schabrun SM, Te M, Chipchase LS. General All material on this website is protected by copyright. As a result of the non-inflammatory nature of De Quervain’s tenosynovitis, research is now revealing that full-time immobilisation can have detrimental effects on tendon recovery because of the myxoid changes that are present within the tendon substance.15 Splints should not be used in isolation. The tendons run between the wrist and the thumb. Huisstede BM, Gladdines S, Randsdorp MS, Koes BW. A \"sticking\" or \"stop-and-go\" sensation in your thumb when moving itIf the condition goes too long without treatment, the pain may spread further into your thumb, back into you… The arrow indicates the location of pain when the test is positive. Hand (N Y) 2018;1558944718791187. doi: 10.1177/1558944718791187. Ultrasonography is reported to be useful in reviewing thickening of the tendons and narrowing of the fibro-osseous canal as well as identifying anomalies in tendon slips. The pathophysiology of De Quervain’s tenosynovitis is generally defined in the literature as a stenosing condition of the first dorsal compartment.1 The extensor tendons are divided into six compartments as they cross the dorsum of the wrist. doi: 10.1016/j.otsr.2018.04.022. De Quervain’s tenosynovitis (also known as de Quervain’s tendinopathy) is a type of tenosynovitis that affects some of the tendons on the wrist below the thumb, also known as the first dorsal compartment of the wrist. It occurs when the 2 tendons around the base of your thumb become swollen., osteoarthritis of the first carpometacarpal, superficial radial nerve neuritis (Wartenberg’s syndrome). 2. Regardless of the treatment, normal use of the hand usually can be resumed once comfort and strength have returned. 2004 Jan; 17 (1) 79-80 (7) Jyoti A Tendinopathies of the elbow, wrist and hand: Histopathology and clinical considerations. There are several measures patients can take to alleviate pain and swelling as healing begins: 1. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longusmuscles. Tendons are covered by a slippery thin soft-tissue layer, called synovium. J Hand Surg Am 2014;39(1):37–41. Any swelling of the tendons and/or thickening of the sheath, results in increased friction and pain with certain thumb and wrist movements. Good specificity and sensitivity has been reported with identifying intercompartmental septums with ultrasonography.14 Identification of a septum is important when treatment for De Quervain’s tenosynovitis may include a corticosteroid injection. doi: 10.1197/j.jht.2007.09.004. Pain is felt in the wrist and can travel up the forearm. De Quervain’s tenosynovitis is a stenosing tenosynovitis with multiple possible aetiologies. This information is provided as an educational service and is not intended to serve as medical advice. Difficulty moving your thumb and wrist when you're doing something that involves grasping or pinching 4. Pain and swelling may make it difficult to move the thumb and wrist. Engelwood, CO, 1995. from the American Academy of Orthopaedic Surgeons. De Quervain’s syndrome is not harmful, but it can be a really painful nuisance. DeQuervain’s was named after the Swiss surgeon who first described the condition in 1895. doi: 10.1016/S0140-6736(10)61160-9. The word "tendinosis" refers to a swelling of the tendons. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. thickening and swelling of extensor retinaculum causes increased tendon friction; NOT considered an inflammatory process. All require the decompression of the first dorsal compartment, some with reconstruction of the compartment to prevent possible subluxation of the tendons.7, Post-surgery therapy can include splinting, scar management including desensitisation, oedema management, active exercises and strengthening.10, Hand therapyOrthopaedicsSoft tissue injuriesTenosinovitisWrist injuries, Australian Journal of General Practice published by the Royal Australian College of General Practitioners, 100 Wellington Parade, East Melbourne, Victoria 3002, Australia


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