De Quervain Disease
Tenosynovitis
De Quervain's disease: efficacy of intra-sheath triamcinolone injection. (1/13)
The methods and clinical outcomes of intra-sheath triamcinolone injection in the treatment of de Quervain's disease are described. We used 38 hands of 36 patients. A mixture of 1 ml of triamcinolone and 1 ml of 1% lidocaine hydrochloride was injected, with an interval of 2 weeks. The fluid was injected into one point above the induration for the first 18 hands and into two points over the extensor pollicis brevis and abductor pollicis longus tendon in the induration for hands 19-38. The efficacy rate was 89%, with the treatment results of the two-point injection better than those of the one-point injection. Recurrence was observed in ten hands, and complications in 13 hands; however, over 90% of patients were satisfied with the injection. The accurate injection of triamcinolone into the sheath of both the extensor pollicis brevis and abductor pollicis longus tendon was considered very effective for de Quervain's disease. (+info)The experience of a woman working in nursing suffering from De Quervain's disease. (2/13)
This is a case study with a phenomenological approach on the experience of a woman who works in nursing and suffers from the de Quervain's disease, an osteo-muscular disorder related to working conditions. This study aimed to understand what means to be a woman working in nursing and suffering from an osteo-muscular disorder related to working conditions through a worker of the Material and Sterilization Center of a private hospital. The philosophical referential from Martin Heidegger was used for the comprehensive analysis of the statement in question. The analysis revealed that the physiopathological process of the de Quervain's disease caused changes in the worker's life, characterized by painful manifestations and especially by physical limitations, which generate a multiplicity of feelings. Anguish is present in the process of accepting the disease, when the worker perceives the fragility of her existence and recognizes herself as the one responsible for her own care, reaching authenticity and transcending the disease. (+info)Division of the first dorsal compartment of the hand into two separated canals: rule or exception? (3/13)
BACKGROUND: Tendon entrapment of the first dorsal compartment of the wrist, the de Quervain disease, is a common cause of wrist and hand pain and disability. A group of 50 consecutive patients operated for the treatment of de Quervain disease from 2003 through 2006 were prospectively studied to determine the variation in the pattern of the first extensor compartment. METHODS: Eighty-six percent of the patients were females, and 14% were males. In 80% of the cases the nondominant and in 20% the dominant hand was involved. These interesting findings may rule out the occupation's relation to de Quervain disease. RESULTS: Our study revealed that the compartment is completely separated into two canals in 86% of the patients which was significantly higher than that reported in similar studies. CONCLUSION: The existence of two separated compartments for abductor pollicis longus and extensor pollicis brevis tendons should be considered as a common finding during operation to prevent incomplete treatment and recurrence of the symptoms. (+info)Spectrum of normal and pathologic findings in the region of the first extensor compartment of the wrist: sonographic findings and correlations with dissections. (4/13)
OBJECTIVE: The purpose of this presentation is to review pathologic conditions that lead to pain at the radial aspect of the distal radius and to address anatomic variations of the first extensor compartment that exist and may have diagnostic and therapeutic implications. METHODS: Our presentation is based on a review of cases from teaching files and observations made in anatomic specimens. RESULTS: The discussed conditions include de Quervain tenosynovitis, intersection syndrome, and Wartenberg syndrome. Sonographic diagnosis of these conditions is addressed, and correlations are provided with anatomic specimens. CONCLUSIONS: Sonography is able to depict and differentiate between these conditions. (+info)Randomised controlled trial of local corticosteroid injections for de Quervain's tenosynovitis in general practice. (5/13)
(+info)Sonographic Identification of the intracompartmental septum in de Quervain's disease. (6/13)
(+info)Variation and clinical significance of extensor pollicis brevis: a study in South Indian cadavers. (7/13)
(+info)Tenosynovitis caused by texting: an emerging disease. (8/13)
De Quervain tenosynovitis is characterized by pain that overlies the radial aspect of the wrist and that is aggravated by ulnar deviation of the hand. The most common cause of de Quervain tenosynovitis is overuse of the thumb musculature. The authors report a case of bilateral de Quervain tenosynovitis observed in a woman aged 48 years at a rural outpatient primary care office. The condition was induced by the patient's excessive use of the text messaging feature on her cellular telephone. Treatment, including naproxen, cock-up wrist splints, and limitation of texting, resulted in complete recovery of the patient. The authors urge physicians to be aware of the potential association between a patient's tenosynovitis symptoms and excessive texting. (+info)De Quervain disease, also known as De Quervain tenosynovitis, is a medical condition that affects the tendons on the thumb side of the wrist. It is characterized by the inflammation and thickening of the sheath that surrounds these tendons, leading to pain and difficulty in moving the thumb and wrist.
The exact cause of De Quervain disease is not known, but it is often associated with repetitive hand or wrist movements, especially those that involve twisting or gripping. It can also occur after an injury to the wrist or thumb. The condition is more common in middle-aged women, and may be related to hormonal changes during pregnancy or menopause.
The symptoms of De Quervain disease include pain and tenderness on the thumb side of the wrist, which may worsen with movement or gripping activities. There may also be swelling and a creaking or crackling sensation when moving the thumb and wrist. Diagnosis is typically made based on the patient's symptoms and a physical examination, although imaging tests such as ultrasound or MRI may be used to confirm the diagnosis.
Treatment for De Quervain disease usually involves resting the affected area, avoiding activities that aggravate the symptoms, and using ice packs to reduce swelling. In some cases, immobilization with a splint or brace may be recommended to allow the tendons to heal. Anti-inflammatory medications or corticosteroid injections may also be used to reduce pain and inflammation. Surgery may be considered if other treatments are not effective.
Tenosynovitis is a medical condition characterized by inflammation of the lining (synovium) surrounding a tendon, which is a cord-like structure that attaches muscle to bone. This inflammation can cause pain, swelling, and difficulty moving the affected joint. Tenosynovitis often affects the hands, wrists, feet, and ankles, and it can result from various causes, including infection, injury, overuse, or autoimmune disorders like rheumatoid arthritis. Prompt diagnosis and treatment of tenosynovitis are essential to prevent complications such as tendon rupture or chronic pain.
Subacute thyroiditis, also known as de Quervain's thyroiditis or granulomatous thyroiditis, is a inflammatory disorder of the thyroid gland. It is characterized by the presence of granulomas, which are collections of immune cells, within the thyroid tissue. The condition often follows an upper respiratory infection and is more common in women than men.
Subacute thyroiditis typically presents with pain and tenderness in the front of the neck, along with systemic symptoms such as fatigue, weakness, and low-grade fever. The disorder can cause hyperthyroidism (overactive thyroid) initially, followed by hypothyroidism (underactive thyroid) as the gland becomes damaged and inflamed. In some cases, the thyroid function may return to normal on its own after several months. Treatment typically involves anti-inflammatory medications to reduce pain and inflammation, and beta blockers to manage symptoms of hyperthyroidism.