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The extensor tendon sheaths on the back of the wrist. De Quervain syndrome involves noninflammatory thickening of the tendons and the synovial sheaths that the tendons run through. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longus muscles. These two muscles run side by side and function to bring ...
Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
Infectious tenosynovitis is the infection of closed synovial sheaths in the flexor tendons of the fingers. It is usually caused by trauma, but bacteria can spread from other sites of the body. Although tenosynovitis usually affects the flexor tendon of the fingers, the disease can also affect the extensor tendons occasionally. [5]
The ring finger and thumb are most commonly affected. [1] The problem is generally idiopathic (no known cause). People with diabetes might be relatively prone to trigger finger. [3] The pathophysiology is enlargement of the flexor tendon and the A1 pulley of the tendon sheath.
Pain may be caused after exerting the wrist, as may occur during weight lifting, in any weight-bearing or athletic activity, manual labor, or from injury to nerves, muscles, ligaments, tendons or bones of the wrist. [2] [3] Wrist pain may result from nerve compression, tendonitis, osteoarthritis or carpal tunnel syndrome.
Weight loss and exercise are the most safe and effective long-term treatments, in contrast to short-term treatments which usually have risk of long-term harm. [ 69 ] High impact exercise can increase the risk of joint injury, whereas low or moderate impact exercise, such as walking or swimming, is safer for people with osteoarthritis. [ 68 ]
Before the needle insertion the thumb is placed in extension, whereas when the needle is already inserted the thumb will be put into semi-flexion, so that the needle can be moved and the palmar skin is movable. The A1 pulley will then be cut with the needle longitudinally and parallel to the fibers of the tendon of the flexor pollicis longus ...
Low-impact exercise such as closed kinetic chain exercises are usually recommended as they are less likely to cause injury when compared to high-impact exercise or contact sports. Heat and cold treatment can help temporarily to relieve the pain of aching joints and muscles but does not address the underlying problems.