De Quervain tenosynovitis

Case contributed by Dr Maulik S Patel

Presentation

Right wrist radial aspect pain - few months. No trauma.

Patient Data

Age: 50 yrs
Gender: Female
Ultrasound

Hypoechoic soft tissue thickening around EPB (extensor pollicis brevis) tendon at distal end of radius. This thickening shows hypervascularity. Tendon is round in shape due to constriction from all around. Tendon is intact with normal echopattern.

There is no significant sheath thickening around APL (abductor pollicis longus) tendon. Tendon shows ovoid shape in cross section contrast to EPB tendon. Tendon is intact with normal echopattern.

Case Discussion

Middle aged female presents with non-traumatic onset of pain on radial aspect of wrist for last few months. Ultrasound findings favour De Quervain's tenosynovitis affecting EPL (extensor pollicis brevis) tendon.

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Case information

rID: 51160
Case created: 6th Feb 2017
Last edited: 6th Feb 2017
Inclusion in quiz mode: Included

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