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De Quervain syndrome occurs when two tendons that control movement of the thumb become constricted by their tendon sheath in the wrist. [3] [5] [6] This results in pain and tenderness on the thumb side of the wrist. [3] Radial abduction of the thumb is painful. [6] On some occasions, there is uneven movement or triggering of the thumb with ...
Dorsal PIP joint tenderness is more common in trigger fingers than previously thought. It is also associated with higher and prolonged levels of postoperative pain after A1 pulley release. Therefore, patients with pre-existing PIP tenderness should be informed about the possibility of sustaining residual minor pain for up to 3 months after surgery.
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.
De Quervain's thyroiditis, also known as subacute granulomatous thyroiditis or giant cell thyroiditis, is a self-limiting inflammatory illness of the thyroid gland. [1] De Quervain thyroiditis is characterized by fever , flu-like symptoms , a painful goiter , and neck pain .
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".
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
The technique of thread trigger finger release is the application of Guo Technique [2] and the procedure is similar to that of the thread carpal tunnel release. [ 3 ] The successful rate of TTFR is high and there are almost no complications such as incomplete release, neurovascular or flexor tendon or A2 pulley injury, infection, bow string, or ...
A spica splint is a type of orthopedic splint used to immobilize the thumb and/or wrist while allowing the other digits freedom to move. It is used to provide support for thumb injuries (ligament instability, sprain or muscle strain), gamekeeper's thumb, osteoarthritis, de Quervain's syndrome or fractures of the scaphoid, lunate, or first metacarpal. [1]