DE QUERVAIN'S STENOSING TENOSYNOVITIS Flashcards

1
Q

Mechanism

A

Repetitive use of thumb or wrist -> tenosynovitis of extensor pollicis brevis and abductor pollicis tendons

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2
Q

Clinical Features

A

Pain in the radial aspect of the wrist
Radiation to thumb or forearm
Painful range of motion of thumb
Local tenderness over distal portion of radial styloid
+ve Finkelstein test

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3
Q

Management

A

Rest
Immobilize wrist and thumb with splint
Anti-inflammatory medications 2 weeks
Encourage range of motion exercises

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