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De quervain's tenosynovitis

Joel K Melton, Arman Memarzadeh, William H Dunbar, Mervyn J Cross
BACKGROUND: In orthopedic and sports medicine literature there is minimal information regarding accurate diagnosis and the treatment options for tenosynovitis of the distal semimembranosus tendon. After reviewing the literature, the authors question both the etiology and treatment of this condition. Previous descriptions have associated the condition primarily with the endurance athlete but we have noted multiple cases in which this is a condition common to the 'sprinter' as well. There has been very little mention of this condition in recent literature but the most recent complete description of operative treatment for this condition recommends both tendon transfer and concomitant arthroscopy...
December 28, 2016: Knee
Véronique Freire, Nathalie J Bureau
Corticosteroids are routinely injected into soft tissues, tendon sheaths, bursae, and joints. These anti-inflammatory agents have different potency and solubility, and solubility is inversely correlated with the duration of action. Corticosteroids carry a low risk of complications but commonly cause systemic and local adverse effects. The use of intra-articular corticosteroid injections in the treatment of inflammatory arthritis and osteoarthritis is well established. Evidence also supports the use of injectable corticosteroids in the treatment of inflammatory tenosynovitis and bursitis associated with rheumatic diseases, trigger finger and de Quervain disease, and carpal tunnel syndrome...
November 2016: Seminars in Musculoskeletal Radiology
Benjamin Plotkin, Srihari C Sampath, Srinath C Sampath, Kambiz Motamedi
The tendons of the wrist are commonly symptomatic. They can be injured, infected, or inflamed. Magnetic resonance imaging and ultrasonography are useful tools for evaluating the wrist. Pathologic conditions of the wrist tendons include de Quervain tenosynovitis, extensor carpi ulnaris tendinopathy, rheumatoid tenosynovitis, infectious synovitis, tendon tears, hydroxyapatite deposition disease, intersection syndrome, tenosynovial giant cell tumor, and fibroma of the tendon sheath. In this article, we review the normal appearance of the wrist tendons, discuss relevant anatomy, and give an overview of common pathologic conditions affecting the wrist tendons...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Z-Hye Lee, J T Stranix, Lavinia Anzai, Sheel Sharma
PURPOSE: De Quervain syndrome or tenosynovitis is a common wrist pathology caused by stenosing tenosynovitis of the first dorsal compartment. Multiple studies have demonstrated significant anatomic variation within the first extensor compartment. METHODS: The terms "De Quervain's tenosynovitis" and "first extensor compartment anatomy" were comprehensively searched using the PubMed, MEDLINE, and Cochrane database. The presence of a septum within the first dorsal compartment, the number of APL (abductor pollicis longus), and EPB (extensor pollicis brevis) tendon slips were identified...
January 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Raja Shekar Danda, Jagannath Kamath, Nikil Jayasheelan, Prashanth Kumar
Ultrasound guidance for steroid injection in de Quervain disease is useful in identifying the presence of subcompartments and effectively injecting the drug into tendon sheath. We prospectively studied 50 patients with features of de Quervain disease to determine the effectiveness of ultrasound in positioning of needle for steroid injection and effectiveness of single versus multiple injections in the presence of subcompartments. Scalp vein set was inserted into the tendon sheath under ultrasound guidance and sterile conditions...
April 2016: Journal of Hand and Microsurgery
Rodrigo César Rosa, Kennedy Martinez de Oliveira, Jorge Alfredo Léo, Bruno Adriano Borges Elias, Paulo Ricardo Dos Santos, Hildemberg Agostinho Rocha de Santiago
Knowledge of the anatomical variations of the muscles of the first dorsal compartments of the wrist is clinically relevant to De Quervain's tenosynovitis and to reconstructive surgeries. In the literature, there are many reports of the presence of multiple insertion tendons in the first dorsal compartment of the wrist, but few reports describe occurrences of fusion and muscle contributions. This case report describes an anomalous bilateral contribution of the extensor pollicis longus. This anomalous contribution was found through a slender auxiliary tendon that crossed laterally under the extensor retinaculum, entered the first dorsal compartment of the wrist and merged with the tendon of the extensor pollicis brevis muscle...
March 2016: Revista Brasileira de Ortopedia
Ilke A Gurses, Rustu Turkay, Ercan Inci, Suna Ors, Yilmaz Onal, Sevda Ozel, Meltem Vural
OBJECTIVE: De Quervain tenosynovitis affects the first extensor compartment of the wrist and occurs more frequently in females. This high prevalence could not be explained by soft tissue. As the osseous anatomy has been mostly neglected, we aimed to compare the distal radius between the sexes. MATERIALS AND METHODS: We evaluated the presence of a bony ridge on the floor of the first extensor compartment on CT images with multiplanar imaging. RESULTS: We included 244 wrists (72 females, 172 males) in the study...
July 2016: Skeletal Radiology
Kevin Lutsky, Nayoung Kim, Juana Medina, Mitchell Maltenfort, Pedro K Beredjiklian
The goals of this study were to (1) assess how frequently patients present for evaluation of common hand disorders in relation to hand dominance and (2) evaluate the effect of hand dominance on function in patients with these conditions. The authors hypothesized that (1) the majority of patients who seek evaluation would have a condition that affects the dominant hand, and (2) disability scores would be worse if the dominant hand is involved. They retrospectively reviewed the records of consecutive patients who presented for treatment to their institution with unilateral symptoms of 5 common disorders of the hand: carpal tunnel syndrome (CTS), de Quervain's tenosynovitis (DEQ), lateral epicondylitis (LE), hand osteoarthritis (OA), and trigger finger (TF)...
May 1, 2016: Orthopedics
Andre Khoo, Clive E Grattan
No abstract text is available yet for this article.
February 3, 2016: BMJ Case Reports
Kuljit Kumar
BACKGROUND: de Quervain's disease is an inadequacy into the first extensor compartment of wrist between the osteofibrous tunnel and the tendons. This mechanical conflict generates a tenosynovitis of the extensor pollicis brevis and the abductor pollicis longus tendons in first dorsal extensor compartment of the wrist. AIM: (1) To compare the clinical results obtained by longitudinal and transverse incisions and (2) the implication of clinical results in Indian population...
April 2016: Musculoskeletal Surgery
Fereydoun Davatchi, Mahnaz Sandoughi, Nasrin Moghimi, Ahmad-Reza Jamshidi, Arash Tehrani Banihashemi, Zahra Zakeri, Bahar Sadeghi Abdollahi
AIM: To calculate the epidemiology of Rheumatic Diseases in Iran. MATERIALS AND METHODS: The data of Tehran, Zahedan, Sanandaj (urban) and Tuyserkan (rural) stage Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) studies were gathered. The data were adjusted to the population number of the studied areas to represent Iran. RESULTS: The population of Iran is 75 149 669 (71.5% urban areas, males 50.4%) and of the mentioned area were respectively 10 000 000, 580 071, 311 444 and 109 262...
November 2016: International Journal of Rheumatic Diseases
Po-Chuan Shen, Ping-Hui Wang, Po-Ting Wu, Kuo-Chen Wu, Jeng-Long Hsieh, I-Ming Jou
Stenosing tenosynovitis of the first dorsal compartment of the wrist (a.k.a. de Quervain's disease) is common but how estrogen is involved is still unknown. We previously reported that inflammation was involved in the pathogenesis of this ailment. In the present study, we extended our investigation of estrogen receptor (ER)-β expression to determine whether estrogen is involved in the pathogenesis of de Quervain's. Intraoperative retinaculum samples were collected from 16 patients with the ailment. Specimens were histologically graded by collagen structure and immunohistochemically evaluated by quantifying the expression of ER-β, interleukin (IL)-1β and IL-6 (inflammatory cytokines), cyclooxygenase (COX)-2 (an inflammatory enzyme), and vascular endothelial growth factor (VEGF), and Von Willebrand's factor (vWF)...
2015: International Journal of Molecular Sciences
Zoë J Foster, Tyler T Voss, Jacquelynn Hatch, Adam Frimodig
Family physicians considering corticosteroid injections as part of a comprehensive treatment plan for musculoskeletal diagnoses will find few high-quality studies to assist with evidence-based decision making. Most studies of corticosteroid injections for the treatment of osteoarthritis, tendinopathy, bursitis, or neuropathy include only small numbers of patients and have inconsistent long-term follow-up. Corticosteroid injections for the treatment of adhesive capsulitis result in short-term improvements in pain and range of motion...
October 15, 2015: American Family Physician
Jerina Tewari, Pravash Ranjan Mishra, Sujit Kumar Tripathy
BACKGROUND: Many authors have reported the anatomical variation of abductor pollicis longus (APL) around the wrist and its association with de Quervain tenosynovitis (DQT), first carpo-metacarpal arthritis, and trapezio-metacarpal subluxation. From Indian subcontinent, there is only one original article and a few case reports on the variability of APL tendon insertion. MATERIALS AND METHODS: Fifty formaldehyde preserved cadaveric wrists were dissected to look for the anatomical variation of APL in the Indian population...
September 2015: Indian Journal of Orthopaedics
Renu Sharma, Aditya N Aggarwal, Shuchi Bhatt, Sudhir Kumar, S K Bhargava
BACKGROUND: de Quervain's tenosynovitis is an inflammation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB) muscle tendon sheaths at the level of radial styloid process. Its conservative management includes nonsteroidal anti-inflammatory drugs, wrist and thumb immobilization, ultrasonic therapy (US Th.) and low level laser therapy (LLLT). Literature is scanty on comparative efficacy of US Th. and LLLT for its management. This prospective study evaluates outcome of US Th...
September 2015: Indian Journal of Orthopaedics
Enrico Giuliani, Anna Bianchi, Augusto Marcuzzi, Antonio Landi, Alberto Barbieri
OBJECTIVE: To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care. METHODS: Candidates to trigger finger release by De Quervain tenosynovitis and carpal tunnel operation under local anesthesia were enrolled in the study. Group A received 400 mg ibuprofen before the operation and placebo after the procedure; group B received placebo before the operation and ibuprofen 400 mg at the end of the procedure; both groups received ibuprofen 400 mg every 6h thereafter...
July 2015: Acta Ortopedica Brasileira
Stéphane Stahl, Daniel Vida, Christoph Meisner, Adelana Santos Stahl, Hans-Eberhard Schaller, Manuel Held
BACKGROUND: The etiology of de Quervain's tenosynovitis (dQ) has been based on conflicting small case series and cohort studies lacking methodological rigor. A prospective case-control study was conducted to analyze the most common risk factors for dQ. METHODS: Between January 2003 and May 2011, 189 patients surgically treated for dQ vs. 198 patients with wrist ganglia (WG) (controls) were identified in our clinic's electronic database. Sample characteristics, exertional, anatomical, and medical risk factors were compared between groups...
2015: BMC Musculoskeletal Disorders
Muhammad Akram, Muhammad Latif Shahzad, Faheem Mubashir Farooqi, Muhammad Irshad, Ranjeet Kumar Sah, Syed Muhammad Awais
BACKGROUND: De Quervain's tenosynovitis is defined as stenosing tenosynovitis of the synovial sheath of tendons of abductor polices longus and extensor pollicis brevis in the first compartment of wrist due to repetitive use. OBJECTIVE: To assess the results of injecting corticosteroids injections for De Quervain's tenosynovitis. METHODS: 80 patients with disease were included in this study. All had a mean of 5.87 weeks of treatment of the condition with NSAIDs and had shown no response...
December 2014: JPMA. the Journal of the Pakistan Medical Association
Jonathan J Streit, Yousef Shishani, Mark Rodgers, Reuben Gobezie
BACKGROUND: Bicipital tendinitis is a common cause of anterior shoulder pain, but there is no evidence that acute inflammation of the extra-articular long head of the biceps (LHB) tendon is the root cause of this condition. We evaluated the histologic findings of the extra-articular portion of the LHB tendon and synovial sheath in order to compare those findings to known histologic changes seen in other tendinopathies. METHODS: Twenty-six consecutive patients (mean age 45...
2015: Open Access Journal of Sports Medicine
James C Heap, Bobby Dezfuli, David M Bennett, Eric Chapman, Gregory L DeSilva
BACKGROUND: Many individuals are turning to the Internet for information about various health conditions, and in our study we evaluated the quality and readability of information on the internet about De Quervain's tendinitis. METHODS: We chose the search terms "De Quervain's Tendinitis," "De Quervain's Tenosynovitis," and "De Quervain's Syndrome," and entered them into the search engines "Google," "Bing," and "Yahoo" and compiled the search results. The websites were then evaluated and assigned a quality score, a Flesch-Kincaid (FK) reading level, and a subjective quality score...
March 2015: Hand: Official Journal of the American Association for Hand Surgery
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