De Quervain's tensosynovitis

Question 1

what is de quervains tenosynovitis

Answer 1

tensosynovitis of the first extensor compartment of the hand, which contain APL and EPB

Question 2

what is meant by APL and EPB

Answer 2

APL = abductor pollicis longus
EPB = extensor pollicis brevis

Question 3

what group of people is de quervains most common in

Answer 3

women between 30 and 50, and associated with pregnancy and RA

Question 4

what is the typical presentation of de quervains

Answer 4

repetitive strain injury with pain over the radial styloid process at the wrist

Question 5

what other names is de quervains known by

Answer 5

gamers thumb, blackberry thumb, mother’s wrist

Question 6

what test is used to diagnose de quervains

Answer 6

Finklestein’s

Question 7

describe Finklestein’s test

Answer 7

patient makes fist over thumb and hand is ulnar deviated to reproduce pain

Question 8

what investigations are used for de quervains

Answer 8

USS, X ray to rule carpometacarpal OA

Question 9

what is involved in the conservative treatment of de quervains

Answer 9

splint, rest, physio, injections, analgesics

Question 10

what is involved in the surgical treatment of de quervains

Answer 10

decompression