Wrist/Hand Pathology - De Quervain's tenovaginitis.

Question 1

Disease of unknown cause, with painful ? of the ? pollicis ? and ? pollicis ? tendons in the first ? compartment of the wrist.
The first dorsal compartment is just ? to the ? ? ?.

Answer 1

inflammation
abductor
longus
extensor
brevis
dorsal
proximal
anatomical snuff box

Question 2

Presentation;

Often ? pain over the first dorsal compartment when using the ?, and ?/ tenderness over the area.

Most common after unaccustomed ? activity (e.g. painting a fence), classically affecting ? ages, and ? women.

Answer 2

acute
thumb
swelling
intensive
middle
postpartum

Question 3

On examination;
o LOOK: often ?, may be swelling over the ? border.
o FEEL: again may be ?, or ? over the radial border.
o MOVE: active thumb ?/?, and active ulnar ? may be affected.
o TEST: ? ‘s test (thumbs across ?, ? deviation causes pain over the tunnel) positive.

Answer 3

normal
radial
normal
tender
opposition/abduction
deviation
Finkelstein's
palm
ulnar

Question 4

Management;
o Conservative: most presentations respond well to ?, ? and ? with thumb ? for ? weeks. ? injections can also be used.
o Surgical: Rarely, ? compartment release may be required if
there is ?.

Answer 4

rest
analgesia
splintage
immobilization
three
steroid
horizontal
recurrence