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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.
Fall on an outstretched hand [2] Diagnostic method: Examination, X-rays, MRI, bone scan [2] Differential diagnosis: Distal radius fracture, De Quervain's tenosynovitis, scapholunate dissociation, wrist sprain [2] [1] Prevention: Wrist guards [1] Treatment: Not displaced: Cast [2] Displaced: Surgery [2] Prognosis: Healing may take up to six ...
The first compartment is the most frequently affected site, called De Quervain's disease (syndrome or tenosynovitis). The other two most commonly injured are the sixth (extensor carpi ulnaris) and second (intersection syndrome) compartments. The first compartment is the site where entrapment tendinitis, better known as De Quervain's disease ...
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.
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.
One of the most common forms is known as de Quervain’s, which affects the thumb side of the wrist, so the best brace is one that will keep your thumb extended and your wrist in a neutral position.
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