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De Quervain’s stenosing tenosynovitis

De Quervain’s stenosing tenosynovitis is a painful condition in which tendons activating the thumb become entrapped in a tunnel of the lateral side of the writs, secondary to inflammation.

What causes a De Quervain’s stenosing tenosynovitis?

Usually, this condition results from repetitive overuse of the thumb and wrist.

What are the symptoms?

Tenderness, swelling and pain in the wrist on the base of the thumb.

How to diagnose it?

Clinical examination easily identifies this condition. There is pain over the first extensor tendon compartment and symptoms are made worse when these tendons are stretched (Finkelstein test).

Functional treatment

Rest, NSAIDS and splinting can be enough to calm the inflammation.

Surgery

When conservative treatment fails, a simple release of the compartment can be done under local anesthesia to relieve the pressure.

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