De Quervain's Disease—Stenosing Fibrous Tendovaginitis at the Radial Styloid Process

This article describes the origin of the term “chauffeur fracture” used to indicate an oblique fracture of the radial styloid process with extension into the wrist joint. This kind of fracture was originally described by the British surgeon Jonathan Hutchinson in 1866. The invention of the automobile increased the incidence of this fracture among chauffeurs and cabdrivers. Indeed, at the beginning of the 20th century, motor vehicles were started by means of a crank-handle connected to the engine, which needed to be turned vigorously clockwise by hand. If the motor started unexpectedly, the crank-handle could jerk back violently and thereby cause a wrist injury due to sudden hyperextension. We retrospectively reviewed the literature and historical articles to better define the historical origins of an often-forgotten eponym. In 1904, the French surgeon Just Lucas-Championnière first evidenced the occupational origin of this fracture, so introducing the term “chauffeur fracture” to identify this injury.

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STENOSING TENDOVAGINITIS AT THE RADIAL STYLOID PROCESS

The Lancet ◽

10.1016/s0140-6736(00)57040-8 ◽

1936 ◽

Vol 227 (5874) ◽

pp. 717-718 ◽

Cited By ~ 5

Author(s):

B.H. Burns ◽

V.H. Ellis

Keyword(s):

Styloid Process ◽

Radial Styloid ◽

Stenosing Tendovaginitis

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Effectiveness of physical treatment at De Quervain᾽s disease

Journal of Health Sciences ◽

10.17532/jhsci.2012.88 ◽

2012 ◽

Vol 2 (1) ◽

pp. 80-84 ◽

Cited By ~ 3

Author(s):

Bakir Katana ◽

Amila Jaganjac ◽

Samir Bojičić ◽

Amra Mačak Hadžiomerović ◽

Muris Pecar ◽

...

Keyword(s):

Physical Therapy ◽

Chronic Phase ◽

Styloid Process ◽

Tendon Sheath ◽

Back Side ◽

Physical Treatment ◽

De Quervain’S Disease ◽

Daily Work ◽

Therapy Assessment ◽

De Quervain

Introduction: De Quervain᾽s disease is a stenosing tenosynovitis of common tendon sheath of abducktor policis longus and extensor policis brevis muscles. Due to the superficial positions it can easily lead tomechanical injuries of tendons and their sheaths. The disease more often affects women over 40 years old and people with certain professions who intensively use hand and fingers in their daily work. Pathologicalchanges consist of sheath᾽s fibrous layer thickening. The clinical condition develops gradually with the pain of varying intensity. It is localized above the radial styloid process and radiates from the back side of thethumb. The aim is to determine the efficacy of physical therapy at De Quervain᾽s disease.Methods: The study was conducted on 50 patients with De Quervain's disease who were reported to the CBR "Praxis" Sarajevo. With retrospective analysis the data was processed for the period from 01.01.2001. to 31.12.2011. year. Before the initiation of physical therapy assessment of functional status scored from 0 to 6 was performed. In the chronic phase physical therapy was performed, after which it underwent assessment of therapy success scores of 0-5. Criteria for inclusion in the study were patients with confirmed De Quervain's disease, patients of both sex and of all ages, and criterion for exclusion was non-compliance withtreatment protocols.Results: In the CBR "Praxis" with De Quervain᾽s disease total of 50 patients were treated in that period, of which 34 women and 16 men. 38% of respondents received a score of 4, while 56% of patients at the end oftreatment received a score of 5.Conslusion: Physical therapy and kinesiotherapeutical procedures have greatly contributed to the elimination of symptoms and consequences of De Quervainove disease.

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Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

Journal of Orthopaedic Surgery and Research ◽

10.1186/1749-799x-5-55 ◽

2010 ◽

Vol 5 (1) ◽

pp. 55 ◽

Cited By ~ 5

Author(s):

Matthias Jacobi ◽

Peter Wahl ◽

Georges Kohut

Keyword(s):

Distal Radius ◽

Styloid Process ◽

Plating Technique ◽

Radial Styloid ◽

Comminuted Fractures ◽

Single Approach ◽

Double Plating

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Removal of Cancellous Bone Graft through the Base of the Excised Radial Styloid Process

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(05)80228-1 ◽

1992 ◽

Vol 17 (5) ◽

pp. 495-500 ◽

Cited By ~ 3

Author(s):

P. VOCHE ◽

M. MERLE

Keyword(s):

Bone Graft ◽

Cancellous Bone ◽

Styloid Process ◽

Cancellous Bone Graft ◽

Radial Styloid ◽

Stt Arthrodesis ◽

Intercarpal Arthrodesis

In performing STT arthrodesis, the excision of the tip of the radial styloid avoids further radial styloid impingement. Cancellous bone graft can be obtained through the base of the excised radial styloid, using a trephine or a curette. The amount of bone removed is sufficient for intercarpal arthrodesis.

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