de Quervain's Tenosynovitis

2019 ◽  
pp. 204-207
Author(s):  
Steven D. Waldman
Keyword(s):  
De Quervain’S Tenosynovitis

Modified Wound Closure Technique in de Quervain’s Tenosynovitis

2021 ◽  
Author(s):  
Matthew R. Zeiderman ◽  
Laura A. Sonoda ◽  
Eileen N. Phan ◽  
Robert M. Szabo
Keyword(s):  
Wound Closure ◽  
Closure Technique ◽  
De Quervain’S Tenosynovitis

Outcome of Corticosteroid Injection in De Quervain's Tenosynovitis

2021 ◽  
Vol 15 (11) ◽  
pp. 3288-3292
Author(s):  
Wahid Bakhsh ◽  
Asad Ullah Jan ◽  
Muhammad Shafiq ◽  
Naveed Iqbal ◽  
Muzafar Hussain Buriro ◽  
...  
Keyword(s):  
Pain Score ◽  
Triamcinolone Acetonide ◽  
Corticosteroid Injection ◽  
Mean Value ◽  
Injection Pain ◽  
P Value ◽  
Duration Of Symptoms ◽  
De Quervain’S Tenosynovitis ◽  
Minimum Age ◽  
The Mean

Background: De Quervain's tenosynovitis is a painful and swollen stenosing tenosynovitis of the first dorsal compartment of the wrist. After analysing the patient's medical history and doing a physical examination, a diagnosis is made. Finkelstein's test is almost always positive. Objective: The goal of this study was to investigate the effectiveness of local corticosteroid injections in the treatment of de Quervain's tenosynovitis. Material & Methods: The study enrolled fifty patients with De Querven's Tenosynovitis. NSAIDs were provided orally and topically to all patients for an average of six weeks with no obvious improvement. Using a visual analogue scale, it was determined how much soreness would be felt in the first dorsal compartment and how much pain would be felt during the Finkelstein test. The edoema was removed by injecting a mixture of 1 mL (10 mg) triamcinolone-acetonide and 1 mL of 1% lidocain hydrochloride into the affected wrist's first dorsal compartment. They were subsequently examined every two weeks for twenty-four weeks. After a local triamcinolone acetonide injection, pain and discomfort on the radial side of the wrist were alleviated, and a negative Finkelstein test was done. Results: The mean age among the patients was 36.6 years with 12.4 SD. The maximum age was 60 years and the minimum age was 25 years old. The duration of symptoms in 4-8 weeks was observed, the mean value was 6 weeks with 1.4 as SD the minimum duration recorded was 4 weeks with 8 weeks as maximum duration. At the start of the week of appearance of symptoms the pain score was 6.44 with 1.6 as SD. The minimum pain score was 4 and maximum pain score was 8. Pain score at 4 weeks was 0.66 with 1.6 as SD. As per the independent t-test the p value was less than 0.05 so the test was significant statistically. Conclusion: One or two local steroid injections in the first dorsal compartment can give considerable pain and inflammation alleviation in people with de Quervain's tenosynovitis.

scholarly journals Akupunktur sebagai Terapi De Quervain’s Tenosynovitis

2019 ◽  
Vol 13 (2) ◽  
pp. 70
Author(s):  
Sri Wahdini ◽  
Christina Simadibrata
Keyword(s):  
Acupuncture Therapy ◽  
Physical Examination ◽  
Conservative Therapy ◽  
Styloid Process ◽  
Functional Improvement ◽  
Left Wrist ◽  
Abductor Pollicis Longus ◽  
De Quervain’S Tenosynovitis ◽  
Carpometacarpal Joints ◽  
Finkelstein’S Test

De Quervain’s tenosynovitis is a disease with pain and edema in the styloid process due to thickening of the sheathsthat encase the tendons of abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Management of DeQuervain’s tenosynovitis include pharmacotherapy combined with conservative therapy and if it fails then surgicalintervention is required. In case of De Quervain’s tenosynovitis, acupuncture for relieving pain and stiffness. Reportedthe case of a woman aged 52 year, complaints of pain and stiffness in the left thumb since two months before went tothe Poliklinik Akupunktur dr. Cipto Mangunkusumo Nasional Hospital. On physical examination the left wrist areafound tenderness and spasm in the area of APL and EPB, VAS 4, there was limitation in the first carpometacarpal jointfunctional and Finkelstein’s test was positive. Acupuncture therapy done at the point LI5, LU7, LU9 and Ashi. Therewas pain reduction and functional improvement of the carpometacarpal joints. Acupuncture gives good results forpain and stiffness in patients with de Quervain’s.

Homoeopathy—A Plausible Alternative Treatment of De Quervain's Tenosynovitis: Case Reports

2021 ◽  
Author(s):  
Ashish Kumar Dixit
Keyword(s):  
Marked Reduction ◽  
Analogue Scale ◽  
Causal Attribution ◽  
Case Reports ◽  
Treatment Assessment ◽  
De Quervain’S Tenosynovitis ◽  
Ligamentous Structure ◽  
Randomised Controlled ◽  
Computer Operator

Abstract Background De Quervain's tenosynovitis (DQT) is a disorder characterised by pain on the radial side of the wrist, impairment of thumb function and thickening of the ligamentous structure covering the tendons in the first dorsal compartment in the wrist. Methods Two patients—a 50-year-old housewife and a 43-year-old computer operator were treated with a homoeopathic medicine ‘Rhus toxicodendron’ prescribed in 1M potency. The assessment was done using a visual analogue scale (VAS) for pain, quality of life (QoL) and range of motion (ROM) at baseline and end of the treatment. Assessment of causal attribution of treatment effect was done with the Modified Naranjo Criteria. Result Both the cases showed a marked reduction in VAS (from +8 to 0 for both cases) and increase in QoL (from +5 to +10 & from +7 to +9) and ROM. The Modified Naranjo Criteria total score for each case was +7/13. Conclusion Homoeopathy can be an effective approach in the management of DQT. Randomised controlled trials are thus indicated.

Accuracy of Online Pictorial Resources for Common Hand Surgery Procedures

Hand ◽  
2020 ◽  
pp. 155894472093736
Author(s):  
Kitae E. Park ◽  
Omar Allam ◽  
Samuel Kim ◽  
Adnan Prsic
Keyword(s):  
Patient Education ◽  
Web Sites ◽  
Medical Information ◽  
Hand Surgery ◽  
Trigger Finger ◽  
Inaccurate Information ◽  
De Quervain’S Tenosynovitis ◽  
Accessible Information ◽  
Medical Institutions ◽  
Tunnel Syndrome

Background: Online medical platforms can provide patients with easily accessible information and greater opportunities to self-advocate. However, the lack of quality control and presence of inaccurate information can lead to miscommunications between the physician and the patient. The objective of this study was to examine the quality and accuracy of online pictorial information regarding common hand conditions. Methods: Medical image information was searched on the search engine Google ( http://www.google.com ) using the terms “de Quervain’s tenosynovitis,” “carpal tunnel syndrome,” and “trigger finger.” The first 20 illustrations to appear on the search were recorded along with the type of source. The images were then examined for veracity of information conveyed. Results: Sixty images were collected from 48 different Web sources. Nonacademic/private medical institutions were the most common image source (35%). The rate of erroneous images was 40%. Web sites of academic hospitals were most frequently the source of incorrect images. Of the conditions, trigger finger had the highest rate of errors (55%), most commonly occurring in positioning of the annular pulleys. The search results did not contain any Web sites from professional hand societies. Conclusion: The quality of online medical information is a significant but often overlooked aspect of health professional and patient education. This study demonstrates the prevalence of incorrect information online and the misunderstandings that patients can have about common conditions. Higher quality online resources are needed to improve patient education and patient-physician interactions. Avenues for improvement are to provide greater accessibility of educational resources offered by professional hand surgery organizations.

scholarly journals A Prospective Evaluation of the Anatomy of the First Dorsal Compartment in Patients Requiring Surgery for De Quervain's Tenosynovitis

2019 ◽  
Vol 08 (05) ◽  
pp. 380-383
Author(s):  
Jonas L. Matzon ◽  
Jack G. Graham ◽  
Kevin F. Lutsky ◽  
T. Robert Takei ◽  
Gregory G. Gallant ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Studies ◽  
Surgical Anatomy ◽  
Prospective Evaluation ◽  
Wrist Flexion ◽  
Large Prospective Study ◽  
Abductor Pollicis Longus ◽  
De Quervain’S Tenosynovitis ◽  
Active Flexion ◽  
Superficial Branch

Background We prospectively evaluated the surgical anatomy during first dorsal compartment release for De Quervain's tenosynovitis, with special attention to the superficial branch of the radial nerve (SBRN). Additionally, the incidence of tendon instability during surgery was assessed. Methods This prospective cohort study consisted of 130 De Quervain's patients undergoing first dorsal compartment release. The treating surgeons recorded the type of incision used, the number of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendon slips, the number of SBRN branches encountered, additional subcompartments created by any septations, and active/passive tendon stability. Results A singular first dorsal compartment was found in 37% of cases, whereas 55% of patients had two subcompartments and 8% had three. Multiple APL tendon slips (range: 1–4) were identified in 78% of patients. In contrast, a single EPB tendon was found in 92% of patients (range: 0–2). At least one SBRN was encountered in 61% of cases. Following surgery, instability was evident in 9% of patients, who had tendons perch with passive wrist flexion. In one of these patients (<1%), the tendons dislocated volarly out of the first dorsal compartment during active flexion. Conclusions The anatomical findings in our relatively large, prospective study of De Quervain's patients undergoing first dorsal compartment release are consistent with previous smaller and/or retrospective studies. Overall, we expect to encounter the SBRN during first dorsal compartment release in more than 50% of patients but are unconcerned if it is not visualized during a careful approach. Tendon instability has an incidence of 9%; however, dislocation is rare (<1%).

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