De Quervain tenosynovitis: Difference between revisions

Revision as of 00:18, 1 May 2012

Tenosynovitis of abductor pollicis, extensor pollicis brevis (where tendons lie in groove of radial styloid)

Pain along radial aspect of wrist (may radiate to thumb or extend into the forearm)
Finkelstein test is positive
- Pt grasps thumb in palm of the hand and ulnar deviates the thumb and hand
  - This stretches the tendons over the radial styloid producing sharp pain

Splint thumb and wrist
- Instruct pt to remove splint briefly each day to perform range-of-motion exercises
NSAIDs x 10-14d
Persistent cases may require steroid injection or surgical decompression

Authors:

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+===Background===
+*Tenosynovitis of abductor pollicis, extensor pollicis brevis (where tendons lie in groove of radial styloid)
+===Clinical Features===
+*Pain along radial aspect of wrist (may radiate to thumb or extend into the forearm)
+*Finkelstein test is positive
+**Pt grasps thumb in palm of the hand and ulnar deviates the thumb and hand
+***This stretches the tendons over the radial styloid producing sharp pain
+===Treatment===
+*Splint thumb and wrist
+**Instruct pt to remove splint briefly each day to perform range-of-motion exercises
+*NSAIDs x 10-14d
+*Persistent cases may require steroid injection or surgical decompression
 ==See Also==