De Quervian tenosynovitis

Case contributed by Dr Bahman Rasuli

Presentation

Right wrist pain in the radial side.

Patient Data

Age: 55 years
Gender: Female
MRI

Right wrist

Abnormal intrasubstance increased signal and thickening along the course of the first dorsal extensor compartment tendons of the wrist (abductor pollicis longus and extensor pollicis brevis) at the radial styloid level.

A focus of chondromalacia also is seen at the proximal pole of lunate.

Case Discussion

Clinical presentation and imaging findings are suggestive for De Quervain tenosynovitis. MRI is specific for the diagnosis and best for characterization of mild cases where not much edema is present. The differential diagnosis is Intersection syndrome which occurs more proximally.

PlayAdd to Share

Case information

rID: 69228
Published: 3rd Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.