De Quervain tendinopathy
Restricted movement of tendons controlling the thumb
De Quervain tendinopathy
De Quervain syndrome or De Quervain tendinopathy occurs when two tendons that control movement of the thumb become enlarged where they pass through their tendon sheath in the wrist. The characteristic symptoms are pain and tenderness on the thumb side of the wrist. Radial abduction of the thumb is painful. On some occasions, there is uneven movement or triggering of the thumb and wrist with radial abduction. The pathophysiology develops gradually. Symptoms can come on gradually or be noted suddenly. The diagnosis is generally based on symptoms and physical examination. Diagnosis is supported if pain increases when the wrist is bent inwards while a person is grabbing their thumb within a fist. The natural history of De Quervain tendinopathy (what happens without treatment) is a symptom resolution over about an approximate 1 year period. Symptom alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered. Steroid...
Read on Wikipedia · Image James Heilman, MD, CC BY-SA 4.0
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