Friday, November 7, 2008

DeQuervain's tenosynovitis

1. What is the mechanism of DeQuervain's?
2. What is seen clinically?
3. What is Finkelstein's test?
4. What is the treatment of DeQuervain's?

Answers:
1. Repetitive or direct trauma to the sheath of the EPB and APL (first extensor compartment of the wrist).
2. Pain and tenderness on the radial side of the wrist.
3. Flex thumb into palm of hand, making a fist, while examiner ulnarly deviates the wrist. Pain is positive.
4. Thumb spica splint, NSAIDs, steroid injection. ?Surgery.

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