De Quervain tenosynovitis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Non-traumatic origin of pain on radial aspect of the wrist. Painful thumb movements.

Patient Data

Age: 40 years
Gender: Female
ultrasound
Longitudinal
Transverse
Transverse
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Info
  • 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.

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