7 - De Quervain’s Tenovaginitis

Question 1

4 signs in patient history?

Answer 1

Several weeks pain localised to radial side of wrist, Aggravated by movement of the thumb, May have seen a localised swelling, Localised tenderness over tunnel

Question 2

M:F?

Answer 2

1:6

Question 3

most commonly affected age group?

Answer 3

50-60s

Question 4

AKA?

Answer 4

washerwoman’s sprain

Question 5

2 instances where likelihood is increased?

Answer 5

post partum and lactating females, activities where frequent thumb abduction and ulnar deviation

Question 6

which compartment is affected?

Answer 6

1st dorsal extensor compartment

Question 7

where is the tunnel located?

Answer 7

fibro-osseous tunnel at the distal radius

Question 8

what needs to be examined?

Answer 8

thumb joints - check base of thumb for osteoarthritis

Question 9

what test should be carried out for diagnosing DQS?

Answer 9

Finklestein’s test - resisted thumb extension

Question 10

2 parts of non-operative treatment?

Answer 10

splints, steroid injection

Question 11

operative treatment?

Answer 11

decompression