ortho de quervain tenosynovitis Flashcards
what is dequervain tenosynovitis
De Quervain’s tenosynovitis is a condition where there is swelling and inflammation of the tendon sheaths in the wrist. It primarily affects two tendons:
Abductor pollicis longus (APL) tendon
Extensor pollicis brevis (EPB) tendon
how does this prob present
Patients present with symptoms at the radial aspect of the wrist near the base of the thumb. Typical symptoms include:
Pain, often radiating to the forearm Aching Burning Weakness Numbness Tenderness
what clinical test can be done to test for dequervain teno and how does it wokr
Finkelstein’s test (or maybe Eichhoff’s test) involves the patient making a fist with their thumb inside their fingers. Then, the wrist is adducted (ulnar deviation), causing strain on the APL and EPB tendons. If this movement causes pain at the radial aspect of the wrist, the test is positive, indicating De Quervain’s tenosynovitis.
