Presentation
Non-traumatic origin of pain on radial aspect of the wrist. Painful thumb movements.
Patient Data
Age: 40 years
Gender: Female
From the case:
De Quervain tenosynovitis
![](https://prod-images-static.radiopaedia.org/images/5332526/8ba5136f2ff5fb9f27ce6f66ffb591_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/5332530/4b229c0d7922ecabe49494ae127ad6_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/5332542/eae6bcb6821bf6faacb6c72f4d1ca8_thumb.jpg)
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Info
![](https://prod-images-static.radiopaedia.org/images/5332526/8ba5136f2ff5fb9f27ce6f66ffb591_big_gallery.jpg)
- thickened hypoechoic tendon sheath around the extensor pollicis brevis tendon
- a tiny ganglion (2mm) just proximal to the thickened sheath
- normal findings at the asymptomatic side for comparison
Case Discussion
Findings favor De Quervain tenosynovitis selective to the extensor pollicis brevis tendon with a tiny ganglion just proximal to the thickened tendon sheath.