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Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and maintaining the range of motion of the wrist, thumb, and fingers. [6] Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered.
Two eponymous diseases are named after Quervain: De Quervain's thyroiditis: Subacute, non-bacterial inflammation of the thyroid gland, often after viral infection of respiratory tract. De Quervain's disease: inflammation of the sheath or tunnel that surrounds two tendons that control movement of the thumb. Sometimes called "washer woman's sprain".
If sharp pain occurs along the distal radius (top of forearm, close to wrist; see image), de Quervain's tenosynovitis is likely. [2] Finkelstein's test is commonly confused with Eichhoff's test: [1] the Eichhoff's test is typically described as the examiner grasping and ulnar deviating the hand when the person has their thumb held within their ...
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
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Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger in full or near full flexion, typically with force. [2] There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease ). [ 3 ]
De Quervain syndrome causes pain over the styloid process of the radius. [3] [4] This is due to the passage of the inflamed extensor pollicis brevis tendon and abductor pollicis longus tendon around it. [4] [5] The styloid process of the radius is a useful landmark during arthroscopic resection of the scaphoid bone. [6]
The condition tends to run in families, suggesting a genetic basis for at least some forms of hypermobility. The term double jointed is often used to describe hypermobility; however, the name is a misnomer and should not be taken literally, as hypermobile joints are not doubled/extra in any sense. Most people have hypermobility with no other ...