De Quervain's Tenosynovitis Flashcards
1
Q
What is De Quervain’s tenosynovitis?
A
Sheath containing extensor pollicis brevis and abductor pollicis longus tendons is inflamed
2
Q
Who does De Quervain’s tenosynovitis typically affect?
A
Females aged 30-50 years old
3
Q
What are features of De Quervain’s tenosynovitis?
A
Pain on radial side of wrist
Tenderness over radial styloidp rocess
Abduction of thumb against resistance is painful
Positive Finkelstein’s test
4
Q
What is Finkelstein’s test?
A
Pull pt thumb in ulnar deviation and longitudinal traction
+ = pain over radial styloid process and along the length of EPB and APL
5
Q
Mx of De Quervain’s tenosynovitis?
A
Analgesia
Steroid injection
CONSIDER
Immobilisation with thumb splint (spica)
Surgical treatment
