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dequervains tenosynovitis treatment

Joseph Bakhach, Bachar Chaya, Nazareth Papazian
BACKGROUND: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendons adhesions. The authors present an alternative procedure for the first extensor compartment pulley decompression: "Omegaplasty"...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
M M Haque, N K Datta, M A Faisal, A Islam, M J Uddin, M M Tarik, M A Hossain
DeQuervain's disease of the first dorsal compartment of the wrist, is a common wrist pathology, pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendon in the fibroosseous canal. Management of resistant cases of DeQuervain's disease with failed conservative treatment treated by surgical decompression yield satisfactory outcomes. A large number of patients being dissatisfied with the medical treatment, still present with persistent pain and positive clinical finding...
April 2015: Mymensingh Medical Journal: MMJ
Jer-Hao Chang, Jyun-De Wu, Chih-Yong Chen, Shih-Bin Sumd, Hsin-I Yin, Der-Jen Hsu
BACKGROUND: Betel quid chewing is common in Taiwan. The work of betel quid preparers is characterized by long hours of static work, awkward working posture and highly repetitive hand/wrist motion. However, the musculoskeletal health of betel quid preparers receives very little attention. METHODS: The Chinese version of the Standardized Nordic Musculoskeletal Questionnaire (NMQ) was administered, and electrogoniometers and electromyography were used in this cross-sectional study to characterize the hand/wrist motion of the subjects...
April 2014: American Journal of Industrial Medicine
Terence J Babwah, Paula Nunes, Rohan G Maharaj
INTRODUCTION: Intra-lesional glucocorticosteroid (GCS) injections are used widely for painful musculoskeletal conditions in general practice. CASE: A 26 year old female, was given an intra-lesional injection of 24 mg methyl prednisolone acetate (MPA) with 15 mg lidocaine for treatment of DeQuervain's tenosynovitis. She was six weeks postpartum and predominantly breast feeding. Lactation was suppressed at approximately 30 h post injection and this persisted for a period of approximately 36 h before spontaneous resumption of milk production...
December 2013: European Journal of General Practice
Muhammad Zeeshan, Farhan Ahmed, Darakhshan Kanwal, Qazi Saad Bin Khalid, Muhammad Nadeem Ahmed
The Guyon's canal syndrome is a well known clinical entity and may have significant impact on patient's quality of life. We report a case of 43-year-old male who presented with complaints of pain and numbness in right hand and difficulty in writing for past one month. On imaging diagnosis of Guyon's canal syndrome because of tortuous ulnar artery was made with additional findings of DeQuervain's stenosing tenosynovitis and dorsal intercalated segmental instability syndrome with ligamentous injury and subsequently these were confirmed on surgery...
2009: Cases Journal
Marinda N Spies-Dorgelo, Daniëlle A W M van der Windt, A Pieter A Prins, Bernard M J Uitdehaag, Henriëtte E van der Horst
OBJECTIVES: 1) To describe diagnoses made by general practitioners (GPs) in patients with hand or wrist problems, 2) to describe management, and 3) to determine the association between diagnostic information and two outcomes: persistent symptoms and specialist referral. METHODS: GPs recruited patients with hand or wrist problems and completed a standardized form recording information about patient history, observations, palpation, and physical tests. Patients were sent a questionnaire at baseline, 3, and 12 months, containing questions on characteristics and symptom severity...
2009: European Journal of General Practice
Jane S Rumball, Constance M Lebrun, Stephen R Di Ciacca, Karen Orlando
Participation in the sport of rowing has been steadily increasing in recent decades, yet few studies address the specific injuries incurred. This article reviews the most common injuries described in the literature, including musculoskeletal problems in the lower back, ribs, shoulder, wrist and knee. A review of basic rowing physiology and equipment is included, along with a description of the mechanics of the rowing stroke. This information is necessary in order to make an accurate diagnosis and treatment protocol for these injuries, which are mainly chronic in nature...
2005: Sports Medicine
Jagruti C Patel, Kirk Watson, Emmanuella Joseph, Juan Garcia, Ronit Wollstein
PURPOSE: To assess long-term results and complications of cancellous bone graft taken from the distal radius. METHODS: A total of 1670 cases of bone graft taken from the distal radius for various indications were reviewed retrospectively. The patients were evaluated for success of bone grafting and for the following complications: fracture through donor site, local infection, DeQuervain's tenosynovitis, and neuroma of the superficial radial nerve. RESULTS: The overall complication rate including bone graft failure within a mean follow-up period of 4...
September 2003: Journal of Hand Surgery
R Bilić, R Kolundzić, M Jelić
The basic role of the shoulder, upper arm, elbow, forearm, and wrist is to place the hand in the appropriate position, so that it can fulfill its function. The upper extremity, especially the wrist and the hand, has a very complex anatomy with a large number of bones, muscles, tendons and nerves. They are essential to work and sport activities and are subject to acute and/or chronic mechanical injuries. This is why overuse injuries are the most common in these regions. They are often characterised by tendinitis, tenosynovitis, tunnel syndromes, or stress fractures...
December 2001: Arhiv za Higijenu Rada i Toksikologiju
D P Hanlon, J R Luellen
Intersection syndrome is a condition that should be differentiated from DeQuervain's stenosing tenosynovitis, as there are many subtle differences in treatment and prognosis. We present a case of intersection syndrome, describing its characteristic clinical and anatomic features, and highlighting differences in the areas of diagnosis and treatment relative to the better known DeQuervain's tenosynovitis.
November 1999: Journal of Emergency Medicine
G Piligian, R Herbert, M Hearns, J Dropkin, P Landsbergis, M Cherniack
This clinical review will describe the epidemiology, clinical presentation, and management of the following work-related musculoskeletal disorders (WMSDs) of the distal upper extremity: deQuervain's disease, extensor and flexor forearm tendinitis/tendinosis, lateral and medial epicondylitis, cubital tunnel syndrome, and hand-arm vibration syndrome (HAVS). These conditions were selected for review either because they were among the most common WMSDs among patients attending the New York State Occupational Health Clinics (NYSOHC) network, or because there is strong evidence for work-relatedness in the clinical literature...
January 2000: American Journal of Industrial Medicine
G Chodoroff, J C Honet
Cheiralgia paresthetica, a mononeuropathy of the superficial branch of the radial nerve, is an uncommon problem, usually resulting from local trauma to the wrist. This report describes a 27-year-old patient who developed subdermal atrophy following local hydrocortisone injection as a treatment for deQuervain's tenosynovitis. Subsequently, she developed linear skin atrophy, a rare complication of steroid injection thought to result from lymphatic spread of the steroid suspension, extending proximally from the initial atrophic area in her hand into her forearm...
September 1985: Archives of Physical Medicine and Rehabilitation
R B Alegado, R A Meals
Symptoms of deQuervain's disease were relieved by incision of the first dorsal compartment sheath in a 43-year-old hospital employee. Three months after the operation she developed dysaesthesias in the distribution of the superficial radial nerve with wrist extension and thumb abduction. At reoperation the tendons of the first dorsal compartment were found to glide dorsally onto a fibrous remnant of the sheath and to elevate the overlying superficial radial nerve. Excision of the fibrous ridge resulted in relief of symptoms...
March 1979: Journal of Hand Surgery
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