Review of De Quervain's tendinopathy

The tendons of the long thumb abductor (APL) and short extensor (EPB), which travel through a fibroosseous tunnel in styloid process radius, are afflicted by De Quervain's tendinopathy. This condition causes (or sheath) they pass to thicken non-inflammatorily. Individuals with this illness report radial side wrist discomfort that gets worse when moved. often has some swelling discomfort. physical examination findings, such as sensitivity enlargement first dorsal compartment pain active or passive stretching over styloids at flexion, used make diagnosis de tendinopathy (Finkelstein manoeuvre test). differential includes calcified arthritis tenosynovitis, intersection syndrome, ganglia, sensory nerve entrapment forearm, osteoarthritis trapeziometacarpal joint (TMC). typically responds well self-limiting therapies alleviate symptoms. patient's unique values preferences have significant role therapeutic decision. Nonsteroidal anti-inflammatory medicines (NSAIDs) for management, forearm-based splint, glucocorticoid injections, surgery all possible treatments. A splint free interphalangeal simultaneous NSAID reduction test advised individuals Patients chronic edema despite non-surgical therapy splints NSAIDs injections. Those who continue experience symptoms nonsurgical treatment injection only ones need surgery. is benign self-limiting, therefore most patients aware this.