De Quervain tenosynovitis

Case contributed by Dr Abdulmajid Bawazeer

Presentation

Complains of wrist pain along the radial side.

Patient Data

Age: 50 years
Gender: Female
Ultrasound

Thickening of extensor pollicis brevis and abductor pollicis longus tendons surrounded by anechoic echogenicity associated with hyperemia and overlying subcutaneous edema.

MRI

Thickening of extensor pollicis brevis and abductor pollicis longus tendons with fluid distending the tendon sheath filled with overlying subcutaneous edema.

Case Discussion

De Quervain’s tenosynovitis affects the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) tendons, which pass through the first dorsal extensor compartment of the wrist 1.
Conservative management of de Quervain’s tenosynovitis differs based on the severity of the condition. Options include anti-inflammatory medication, corticosteroid injections, and occupational therapy (OT). If symptoms persist despite a trial of conservative care, surgical intervention may be warranted 1.

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Case information

rID: 78472
Published: 17th Jun 2020
Last edited: 2nd Aug 2021
Inclusion in quiz mode: Included
Institution: The Islamic Hospital

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