Presentation
Chronic wrist pain in the radial side.
Patient Data
Age: 55 years
Gender: Female
From the case:
De Quervain tenosynovitis
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Thickening with abnormal intrasubstance increased fluid signal of the first
dorsal (extensor) compartment tendons of the wrist (abductor pollicis longus and extensor pollicis
brevis).
There is increased fluid within the first dorsal (extensor) compartment tendon sheath.
Degenerative changes such as joint space narrowing, cartilage thinning, and fraying
and subchondral cystic changes are seen along with the first CMC joint.
Case Discussion
This middle-aged female presents with a non-traumatic onset of pain on the radial aspect of the wrist from eight months ago. Clinical presentation and imaging findings are suggestive of De Quervain tenosynovitis.