de quervain's tenosynovitis Flashcards
1
Q
what is it?
A
inflammation of the tendon sheaths within the first compartment
2
Q
what does the first compartment contain?
A
abductor pollicis longus and extensor pollicis brevis
3
Q
what is it associated with?
A
pregnancy and rheumatoid
4
Q
what are the symptoms?
A
pain over radial styloid process at the wrist - radiates proximally into forearm
swollen wrist
5
Q
what are the signs?
A
Finklestein’s test
6
Q
what is Finklestein’s test?
A
patient makes a fist over thumb and hand is ulnar deviated to reproduce pain
7
Q
what investigations are used?
A
USS and x-ray to rule our CMC joint OA which can mimic DQ
8
Q
what is the conservative management?
A
splint, rest, physio, analgesics, NSAID
steroid injections
9
Q
A
