Usmle flashcards
1
Q
de Quervain tendinopathy pathogenesis ?
A
Myxoid degeneration of tendons/tendon sheaths
Involves abductor pollicis longus & extensor pollicis brevis
2
Q
de Quervain tendinopathy symptoms ?
A
Lateral hand/wrist pain
Provoked by lifting objects, thumb or wrist movement
3
Q
de Quervain tendinopathy Dx?
A
Based on clinical features (eg, positive provocative testing)
Tenderness at radial styloid
Pain with thumb flexion + ulnar wrist deviation
4
Q
de Quervain tendinopathy Tx?
A
Thumb spica splint
Nonsteroidal anti-inflammatory drugs
Persistent/severe cases: corticosteroid injection
