De Quervain tenosynovitis: Difference between revisions
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==Background== | |||
*Tenosynovitis of abductor pollicis, extensor pollicis brevis (where tendons lie in groove of radial styloid) | *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) | *Pain along radial aspect of wrist (may radiate to thumb or extend into the forearm) | ||
*Finkelstein test is positive | *Finkelstein test is positive | ||
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***This stretches the tendons over the radial styloid producing sharp pain | ***This stretches the tendons over the radial styloid producing sharp pain | ||
==Treatment== | |||
*Splint thumb and wrist | *Splint thumb and wrist | ||
**Instruct pt to remove splint briefly each day to perform range-of-motion exercises | **Instruct pt to remove splint briefly each day to perform range-of-motion exercises | ||
Revision as of 00:18, 1 May 2012
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
- Pt grasps thumb in palm of the hand and ulnar deviates the thumb and hand
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
Source
- Tintinalli
- Atlas of Emergency Medicine