It's Not De Quervain Tenosynovitis – A Diagnosis to Consider in Persistent Wrist Pain

Schmidt, Eric; Kobayashi, Yohnosuke; Gottschalk, Andrew W.

doi:10.31486/toj.21.0005

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…One of the common causes of wrist and hand pain or disability is the first extensor compartment entrapment. For the first time Fritz de Quervain describes the tenosynovitis APL and EPB tendons [ 2 , 3 ]. Despite great interest in this case, its pathology and leading cause remain unclear [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical study of the abductor pollicis longus & extensor pollicis brevis after release and reconstruction of the first dorsal compartment of the wrist

Gupta¹,

Mirzaee

Baradaran

et al. 2021

Annals of Medicine and Surgery

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Background The purpose of this study was to determine the biomechanical changes after first dorsal compartment release and after Z-plasty of the first dorsal compartment with respect to the excursion and displacement of the abductor pollicis longus and extensor pollicis brevis tendons. Materials and methods Six fresh frozen cadaveric hand and forearms were obtained and the tendons of the abductor were exposed and separated from surrounding tissues through a palmar incision and tenotomized at the musculotendinous junction. The excursion and displacement of the abductor pollicis brevis and flexor pollicis brevis tendons were measured for all six cadaveric hands. Results Increases in tendon excursion were observed in both the abductor pollicis longus (29%) and extensor pollicis brevis (30%) while these observations after Z-plasty were 0.04% for abductor pollicis longus and 0.07% for extensor pollicis brevis. With the use of the modified Elftman curve for the Lengths, tension relationship and Brand's data for resting fiber length we found that 1 cm increase of The excursion of the APL and EPB will decrease tension %65 and %80 respectively. There was also a 12.2-mm displacement of the tendons after release and 4.8 mm displacement after z-plasty of the compartment. Conclusion It seems that Procedures such as enlargement plasty of Kapandji or Z-plasty will increase the size of the compartment but will not change the biomechanical behaviors of the tendons significantly.

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Section: Introductionmentioning

confidence: 99%

Biomechanical study of the abductor pollicis longus & extensor pollicis brevis after release and reconstruction of the first dorsal compartment of the wrist

Gupta¹,

Mirzaee

Baradaran

et al. 2021

Annals of Medicine and Surgery

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A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

Mitchell,

Hamilton,

Dean

et al. 2023

Hand Therapy

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Introduction Non-traumatic wrist disorders (NTWD) are commonly encountered yet sparse resources exist to aid management. This study aimed to produce a literature map regarding diagnosis, management, pathways of care and outcome measures for NTWDs in the United Kingdom. Methods An interdisciplinary team of clinicians and academic researchers used Joanna Briggs Institute guidelines and the PRISMA ScR checklist in this scoping review. A mixed stakeholder group of patients and healthcare professionals identified 16 questions of importance to which the literature was mapped. An a-priori search strategy of both published and non-published material from five electronic databases and grey literature resources identified records. Two reviewers independently screened records for inclusion using explicit eligibility criteria with oversight from a third. Data extraction through narrative synthesis, charting and summary was performed independently by two reviewers. Results Of 185 studies meeting eligibility criteria, diagnoses of wrist pain, De Quervain’s syndrome and ulna-sided pain were encountered most frequently, with uncontrolled non-randomised trial or cohort study being the most frequently used methodology. Diagnostic methods used included subjective questioning, self-reported pain, palpation and special tests. Best practice guidelines were found from three sources for two NTWD conditions. Seventeen types of conservative management, and 20 different patient-reported outcome measures were suggested for NTWD. Conclusion Substantial gaps in evidence exist in all parts of the patient journey for NTWD when mapped against an analytic framework (AF). Opportunities exist for future rigorous primary studies to address these gaps and the preliminary concerns about the quality of the literature regarding NTWD.

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It's Not De Quervain Tenosynovitis – A Diagnosis to Consider in Persistent Wrist Pain

Cited by 2 publications

References 14 publications

Biomechanical study of the abductor pollicis longus & extensor pollicis brevis after release and reconstruction of the first dorsal compartment of the wrist

Biomechanical study of the abductor pollicis longus & extensor pollicis brevis after release and reconstruction of the first dorsal compartment of the wrist

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

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