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De Quervain's Tenosynovitis

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Topic updated on 12/31/15 12:57pm

Introduction
  • Definition
    • stenosing tenosynovitis of abductor pollicis longus (APL) and extensor pollicis brevis (EPB)
    • due to chronic use
  • Epidemiology
    • mechanism
      • chronic motion such as tightening with a wrench
    • common in
      • woman 30-50 years
      • racquet sports
  • Pathophysiology
    • causes include
      • idiopathic
      • overuse
        • golfers and racquet sports
      • post-traumatic
      • postpartum
Presentation
  • Physical exam
    • pain on radial wrist
    • Finkelstein's test
      • ulnar deviation of the hand with the thumb clenched in the palm produces pain
  • Anatomy
    • stenosing tenosynovitis of APL and EPB
Treatment
  • Nonoperative
    • rest, NSAIDS, thumb spica splint, and steroid injection
  • Operative
    • surgical release 


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