de quervain's tenosynovitis

Question 1

what is de quervain’s tenosynovitis?

Answer 1

1. inflammation of the tendons within the first extensor compartment of the wrist
2. wrist pain and swelling

Question 2

clinical features of de quervain’s tenosyovitis?

Answer 2

1. pain near the base of the thumb with associated swelling

Question 3

Ix

Answer 3

Finkelstein’s test is positive

1. longitudanal traction and ulnar deviation to the affected thumb
2. pain at the radial styloid process and along the length of the extensor pollicis brevis/longus is a positive test

Question 4

Mx

Answer 4

1. physio/ steroids / wrist splint

2. surgical decompression