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de Quervain Tenosynovitis, Sports Medicine

David A. Wang, MD and Ryan J. Lingor, MD, AT-C, RD, CSCS Reviewed 04/2019
 


BASICS

DESCRIPTION

  • First described by Swiss physician Fritz de Quervain in 1895 1

  • de Quervain tenosynovitis is a stenosing tenosynovitis of the 1st dorsal compartment of the wrist.

  • The abductor pollicis ...

DIAGNOSIS

Clinical diagnosis based on history and physical exam findings 

HISTORY

  • Gradual onset of pain along the radial styloid of the wrist for several weeks to months but can occur more acutely with ...

TREATMENT

GENERAL MEASURES

  • Rest from offending activity

  • Ice massage is beneficial when used early.

MEDICATION

  • Topical and oral anti-inflammatory agents may benefit some patients especially during an acute...

ONGOING CARE

PATIENT EDUCATION

Discussion of the risk factors can lead to insight into what caused the problem and can help reduce recurrence. 

PROGNOSIS

Most patients have a very good prognosis; however...

REFERENCES

1
Huisstede BM, Coert JH, Fridén J, et al; for European HANDGUIDE Group. Consensus on a multidisciplinary treatment guideline for de Quervain disease: results from the European HANDGUIDE stu...

ADDITIONAL READING

  • Peters-Veluthamaningal C, van der Windt DA, Winters JC, et al. Corticosteroid injection for de Quervain’s tenosynovitis. Cochrane Database Syst Rev.  2009;(3):CD005616.

  • Richie C...

CLINICAL PEARLS

  • First-line treatment typically involves activity modification, splinting, ice massage, and a topical or oral anti-inflammatory.

  • Corticosteroid injection can improve symptoms in a large ...

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