De Quervain tenosynovitis - wrist (MRI)

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Severe pain over the wrist radial side and the inability to move it.

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Axial PD
fat sat
This study is a stack
Axial
T1
This study is a stack
Coronal
T2
This study is a stack
Coronal
T1
This study is a stack
Coronal PD
fat sat
This study is a stack
Sagittal
PD fat sat
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Info

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

There is increased fluid within the tendons sheath.  

Edema and fluid signals are also visible at the subcutaneous plane of the radial aspect of the wrist and superficial to the first extensor compartment.

Case Discussion

Clinical presentation and imaging findings are consistent with De Quervain tenosynovitis.

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