DE QUERVAINS DISEASE Flashcards
1
Q
DEFINE
A
CONDITION CHARACTERISED BY PAIN AND SWELLING OVER RADIAL STYLOID PROCESS DUE TO INFLAMMATION OF COMMON SHEATH OF APL AND EPB
2
Q
ETIOLOGY
A
NOT KNOWN
SEEN IN WOMEN ( ALSO CALLED MUMMY THUMB )
REPEATED USE OF WRIST
3
Q
AGE
A
PREGNANCY AND 40 TO 50 YEARS
4
Q
SEX
A
FEMALE
5
Q
CLINICAL FEATURES
A
PAIN
RESTRICTED MOVEMENT
TENDERNESS LOCALISED ON RADIAL STYLOID PROCESS
PALPABLE THICKENING OF SHEATH
FINKELSTEIN TEST - EXAMINER ADDUCTS THE THUMB ACROSS THE PALM , FORCES ULNAR DEVIATION AND ASKS THE PATIENT TO PERFORM RADIAL DEVIATION AGAINST RESISTANCE.
HITCH HIKER SIGN SEEN
6
Q
TREATMENT
A
CONSERVATIVE
SURGERY
7
Q
CONSERVATIVE
A
NSAID
LOCAL INJECTION OF HYDROCORTISONE
8
Q
SURGERY
A
SLITTING OR EXCISION OF PART OF TENDON SHEATH
