de Quervain Tenosynovitis of the Wrist

Ilyas, Asif M.; Ast, Michael P.; Schaffer, Alyssa A.; Thoder, Joseph J.

doi:10.5435/00124635-200712000-00009

Cited by 194 publications

(213 citation statements)

References 44 publications

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“…Many patients with de Quervain's tenosynovitis are given a corticosteroid injection and a prescription for non-steroidal anti-inflammatory drugs (NSAIDs) for pain management upon initial presentation to the physician [9][10][11]. The corticosteroid injection is delivered into the first dorsal compartment [8,11,14].…”

Section: Conservative Carementioning

confidence: 99%

“…The splint is typically discontinued when the sutures are removed, approximately 10-14 days after the surgery [10].…”

Section: Postsurgical Carementioning

confidence: 99%

“…The etiology of this disease is due to repetitive and continued strain of the APL and EPB tendons as they pass under a thickened and swollen extensor retinaculum [2,10,12,19]. Patients present with complaints of pain and inflammation in the region of the radial styloid [11,14].…”

mentioning

confidence: 99%

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De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Goel

Abzug

2014

Hand (New York, N,Y.)

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de Quervain's tenosynovitis is an overuse disease that involves a thickening of the extensor retinaculum, which covers the first dorsal compartment. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. A 34-year-old right hand-dominant female who works in a daycare facility presents with radial side wrist pain during lifting activity for the past 4-6 weeks. The patient was diagnosed with de Quervain's tenosynovitis and conservative care was initiated. Conservative care involved antiinflammatory medication and corticosteroid injections as well as occupational therapy to include splinting, activity modification, modalities, manual treatment, and therapeutic exercise. Although conservative care assisted the patient with her symptoms initially, she returned with increased pain and discomfort after 2 months time. At that point, surgery was discussed and performed to release the first dorsal compartment as well as the sub-compartment. The patient was provided with a splint postoperatively and initiated occupational therapy for edema and scar management, therapeutic exercise, and desensitization. Ultimately, the patient was able to return to work pain free.

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Section: Conservative Carementioning

confidence: 99%

“…The splint is typically discontinued when the sutures are removed, approximately 10-14 days after the surgery [10].…”

Section: Postsurgical Carementioning

confidence: 99%

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De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Goel

Abzug

2014

Hand (New York, N,Y.)

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“…5): thickening of the retinaculum of the first dorsal compartment, stenosing tenosynovitis [9]. Finger flexor tendons and A1 pulley ( …”

Section: Conflicts With Retinaculum or A Thickened Pulleymentioning

confidence: 99%

Conflicts, snapping and instability of the tendons. Pictorial essay

Fantino

Borne

Bordet

2012

Journal of Ultrasound

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Conflicts, snapping and instability of the tendons are common, and ultrasound (US) is the method of choice for evidencing these conditions thanks to the possibility to perform dynamic maneuvers during imaging studies. A conflict can occur between a tendon and a bone structure, other tendons, the retinacula or pulleys. Snapping can occur due to instability caused by rupture of the retinaculum, conflict between a thickened retinaculum and a bone prominence or due to an abnormal position of the tendon. Instability can occur due to insufficient ability of the retinaculum to keep the tendons in the bone groove or its failure to hold the tendons applied to the bone. The technique for evidencing conflicts, snapping and instability of the tendons is very demanding because it requires a thorough knowledge of the US appearance and dynamic maneuvers. However, at the present time US examination completed with dynamic maneuvers is the investigation of choice for evidencing these disorders and providing the clinicians with the necessary information.Sommario Conflitti, scatti ed instabilità dei tendini sono frequenti e l'ecografia è, per la possibilità di eseguire manovre dinamiche, la metodica di elezione per obbiettivarli. I conflitti dei tendini possono realizzarsi rispetto a strutture ossee, ad altri tendini, a retinacoli e pulegge. Gli scatti possono avvenire per instabilità da rottura di un retinacolo, per conflitto con un retinacolo ispessito o con una protuberanza ossea, per uno spostamento anomalo rispetto a un altro tendine. L'instabilità può realizzarsi per insufficienza di un retinacolo nel chiudere una doccia ossea, o per insufficienza, sempre di un retinacolo, a stabilizzare i tendini contro un osso. La tecnica per l'evidenziazione di conflitti, scatti ed instabilità dei tendini è molto impegnativa, perché richiede la conoscenza della semiotica e manovre dinamiche, ma l'ecografia, completata con manovre dinamiche è, al momento attuale, l'indagine di scelta per la comprensione di queste patologie e per fornire informazioni ai clinici. ª

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“…[1][2][3] It is a typical example of overuse tenosynovitis of the wrist. It is also known as washerwoman's sprain.…”

Section: Introductionmentioning

confidence: 99%

De Quervain`s disease: evaluation by high resolution ultrasonography

Das

Prabhu

2017

Int J Res Med Sci

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Background: De Quervain's tenosynovitis is a stenosing tenosynovitis of the first extensor compartment of wrist and leads to wrist pain and impaired function of wrist and hand. The aim of this study is to evaluate the role of high resolution ultrasonography in diagnosing suspected cases of de Quervain’s tenosynovitis and also to evaluate the role of high resolution ultrasonography in detecting the anatomical variants of the first extensor compartment which are predisposing conditions for de Quervain’s tenosynovitis.Methods: A prospective study of 15 consecutive cases who were referred with clinical diagnosis of de Quervain`s disease was done with ultrasonography in the department of Radio-diagnosis and findings were carefully analysed.Results: Thickened extensor retinaculum over the first extensor compartment was found in all the cases. Mean thickness of the thickened retinaculum is 1.65 mm. In 60% of cases multiple slips of APL tendon were found.Conclusions: From the study, we conclude that extensor retinaculum thickening is a common finding in de Quervain`s disease.

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de Quervain Tenosynovitis of the Wrist

Cited by 194 publications

References 44 publications

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

De Quervain's Tenosynovitis: A Review of the Rehabilitative Options

Conflicts, snapping and instability of the tendons. Pictorial essay

De Quervain`s disease: evaluation by high resolution ultrasonography

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