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De Quervain's TenosynovitisAka: De Quervain Syndrome, Extensor Carpi Radialis Tenosynovitis, Stenosing Tenosynovitis

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  1. See Also
    1. Overuse Syndromes of the Hand and Wrist
  2. Pathophysiology
    1. Inflammation of thumb extensor tendons
      1. Extensor pollicis brevis
      2. Abductor pollicis longus
    2. Occurs where tendons cross radial styloid
  3. Variations: Extensor Carpi Radialis Tenosynovitis
    1. Affects radial wrist extensors
    2. Seen in heavy laborers
    3. Same signs, symptoms and management as de Quervain's
  4. Signs and symptoms
    1. First dorsal extensor compartment (snuff box) symptoms
    2. Crepitation with extensor tendon movement
    3. Local thickening of tendon sheath
    4. Radiation of pain
      1. Ascending up forearm
      2. Descending down into thumb
    5. Provocative maneuver eliciting pain
      1. Finkelstein Test
      2. Active and passive range of motion of thumb
  5. Management
    1. NSAIDs
    2. Immobilization
    3. Avoid offending activity
    4. Moist heat as needed
    5. De Quervain's Tenosynovitis Injection
    6. Surgical correction: first dorsal compartment release
      1. Indicated for persistent symptoms despite above

Tendon Entrapment (C0158329)

Definition (MSH)Narrowing or stenosis of a tendon's retinacular sheath. It occurs most often in the hand or wrist but can also be found in the foot or ankle. The most common types are DE QUERVAIN DISEASE and TRIGGER FINGER DISORDER.
ConceptsDisease or Syndrome (T047)
MSHD053682
EnglishConstrictive tenosynovitis, Stenosing Tendovaginitides, Stenosing Tendovaginitis, Stenosing Tenosynovitides, Stenosing tenosynovitis, Stenosing Tenovaginitides, Stenosing Tenovaginitis, Tendon Entrapment, Tendon Entrapments
Spanishtenosinovitis constrictiva, tenosinovitis estenosante
Parent ConceptsTenosynovitis (C0039520)
SourcesMSH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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