De Quervain tenosynovitis - MRI

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Long-term history of dorsal radial wrist and thumb pain.

Patient Data

Age: 50 years
Gender: Female

MRI reveals thickening with abnormal intrasubstance increased fluid signal of the first dorsal compartment tendons of the wrist (abductor pollicis longus and extensor pollicis brevis). There is increased fluid within the tendon sheath.  

Intraosseous degenerative cysts up to 2 mm are seen within the carpal row proximal bones.

Case Discussion

MRI fndings are consistent with De Quervain tenosynovitis

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