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De Quervain Tenosynovitis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • First identified in 1895 by Fritz De Quervain, de Quervain tenosynovitis is a painful condition due to stenosis of the tendon sheath in the 1st dorsal compartment of the radial aspec...

DIAGNOSIS

HISTORY

  • Repetitive motion activity; overuse of wrist or thumb

  • Gradually worsening pain along the radial aspect of the thumb and wrist with certain movements, particularly ulnar deviation of th...

TREATMENT

  • Most cases of de Quervain syndrome are self-limited.

  • Rest and NSAIDs (2)[A]

  • Ice (15 to 20 minutes 5 to 6 times a day)

  • Immobilization with a thumb spica splint (2)[A]

  • Occupational therapy

  • Corticos...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Additional corticosteroid injection may be performed at 4 to 6 weeks if symptoms persist. Caution with repeat steroid injections.

  • Avoid repetitive motions and acti...

REFERENCES

1 Wolf JM, Sturdivant RX, Owens BD. Incidence of de Quervain’s tenosynovitis in a young, active population. J Hand Surg Am.  2009;34(1):112–115.  [View Abstract]
2 Huisstede BM, Coer...

ADDITIONAL READING

  • Ali M, Asim M, Danish SH, et al. Frequency of de Quervain’s tenosynovitis and its association with SMS texting. Muscles Ligaments Tendons J.  2014;4(1):74–78.  [View Abstract]

  • ...

SEE ALSO

Algorithm: Pain in Upper Extremity 

CODES

ICD10

M65.4 Radial styloid tenosynovitis [de Quervain] 

ICD9

727.04 Radial styloid tenosynovitis 

SNOMED

21794005 Radial styloid tenosynovitis 

CLINICAL PEARLS

  • Repetitive movements of the wrist and thumb, and activities that require forceful grasping are the most common causes of de Quervain tenosynovitis.

  • Initial treatment is typically conser...

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