De Quervain’s Tenovaginitis Flashcards
What is De Quervain’s Tenovaginitis?
It is defined as a condition in which there is inflammation of the sheath containing the extensor pollicis brevis and abductor pollicis longus tendons
What three risk factors are associated with De Quervain’s tenovaginitis?
Middle Aged, 30 – 50 Years Old
Female Gender
Repetitive Hand Injuries
What are the four clincial features of De Quervain’s tenovaginitis?
Radial Wrist/Thumb Pain
Radial Styloid Process Tenderness
Thumb Swelling
Reduced Thumb Abduction
What is the investigation used to diagnose De Quervain’s tenovaginitis?
Finkelstein’s Test
How do we conduct Finkelstein’s test?
The examiner pulls the thumb of the patient in ulnar deviation (adduction) and longitudinal traction (flexion)
What Finkelstein’s test result indicates De Quervain’s tenovaginitis?
The stimulation of pain over the radial styloid process and along the length of the extensor pollicis brevis and abductor pollicis longus
What are the two pharmacological management options of De Quervain’s tenovaginitis?
Simple Analgesia
Steroid Injection
When is simple analgesia used to manage De Quervain’s tenovaginitis?
They are the first line management option of De Quervain’s tenovaginitis
Name a simple analgesia used to manage De Quervain’s tenovaginitis
NSAIDs
When is the gold standard management option of De Quervain’s tenovaginitis?
Steroid Injections
How are steroid injections used to manage De Quervain’s tenovaginitis?
They are used to reduce inflammation of the tendon sheath
What is the non-surgical management option of De Quervain’s tenovaginitis?
Thumb Spica Splint
How are thumb spica splints used to manage De Quervain’s tenovaginitis?
They are used to immobilise the thumb in an extended position
What is the surgical management option of De Quervain’s tenovaginitis?
Tendon Release
What is tendon release?
It involves incision at the base of the thumb, in order to relieve pressure from the pollicis tendon sheath
