Materiały źródłowe

• #1 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK442005/

  De Quervain tenosynovitis manifests as a thickening and myxoid degeneration of the tendon sheaths, specifically affecting the abductor pollicis longus and extensor pollicis brevis tendons as they traverse through the fibro-osseous tunnel situated along the radial styloid at the distal wrist. […] The diagnosis of de Quervain tenosynovitis is a clinical one based on the typical history and examination findings. […] While not helpful in confirming the diagnosis, plain radiographs may help differentiate other causes of radial wrist pain, such as thumb carpometacarpal joint osteoarthritis. […] Ultrasonography of the wrist helps in the identification of the septum in the first dorsal compartment, the elucidation of which helps increase the success rates of corticosteroid injections. […] The management starts with nonoperative treatment in the form of immobilization and corticosteroid injection in the first dorsal compartment.

• #1 De Quervain’s Tenosynovitis: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis/treatment

  De Quervain’s tenosynovitis can often be diagnosed during a physical exam. Your doctor will check your hand and wrist for swelling and see if you feel pain when pressure is placed on the thumb side of the wrist. […] Your physician may also perform the Finkelstein test, in which youll make a fist with your thumb under your fingers and bend your wrist toward your pinky finger. If you feel pain along the thumb side of your wrist, you may have de Quervain’s tenosynovitis. Imaging exams such as X-rays are not usually needed.

• #1 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] To determine whether you have De Quervain’s tenosynovitis: Your doctor may touch along the thumb side of your wrist, looking for pain and swelling. You may be asked to perform the Finkelstein/Eichhoff test, which involves placing your thumb in your palm, grasping it with your other fingers, and bending your wrist toward your little finger. The test is positive, indicating you may have De Quervain’s tenosynovitis, if you experience pain during the maneuver. […] De Quervain’s tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment.

• #1 Potential effects, diagnosis, and management of De Quervain Tenosynovitis in the aesthetics community: A Brief Review, Case Example, and Illustrative Exercises

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10919949/

  De Quervain’s tenosynovitis (DQT) is a well-known syndrome involving the hand in the orthopedic and rehabilitation space. […] The correct diagnosis of this debilitating tendon condition and the seeking of early treatment yields excellent outcomes for patients. […] A gold standard to test for DQT in the United States is the Finkelstein’s Test. […] It is important for injectors to recognize the early signs and symptoms of DQT so that intervention can occur as quickly as possible. Early intervention may help prevent severe inflammation of the tendons in the injecting thumb and avoid the use of short-term disability. […] A history and physical are needed for a DQT diagnosis. […] The provider may examine and palpate along the affected area to assess for pain and swelling. […] Nonoperative management is the first line of defense against DQT.

• #1 de Quervain’s Tenosynovitis: Causes & Treatment – familydoctor.org

  https://familydoctor.org/condition/de-quervains-tenosynovitis/

  De Quervain’s tenosynovitis is a painful condition that affects the tendons in your wrist. It occurs when the 2 tendons around the base of your thumb become swollen. The swelling causes the sheaths (casings) covering the tendons to become inflamed. This puts pressure on nearby nerves, causing pain and numbness. […] To diagnose de Quervain’s tenosynovitis, your doctor may do a simple test. It is called the Finkelstein test. First, you bend your thumb so it rests across your palm. Then you make a fist, closing your fingers over your thumb. Last, you bend your wrist toward your little finger. If you have tenderness or pain at the base of your thumb, you probably have de Quervain’s tenosynovitis. […] Other tests such as X-rays usually aren’t needed to diagnose the condition.

• #1 De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment | IntechOpen

  https://www.intechopen.com/chapters/64725

  De Quervains tenosynovitis (DQT) is a repetitive stress condition located at the first dorsal compartment of the wrist at the radial styloid. […] This chapter identifies, in an evidence base manner through the literature, the most effective diagnostic measures for DQT. […] Diagnosis is usually clinical using either the Finkelsteins test, Eichhoffs test, and/or the wrist hyperflexion and abduction of the thumb (WHAT) test. […] If required, the single most useful and accurate investigation is a high-resolution ultrasound scan. […] The Finkelstein test is a clinical test used to assess the presence of DQT in people with wrist pain. […] Eichhoffs test consists of grasping the thumb in the palm of the hand while the wrist is ulnar deviated, and the test is positive in the presence of pain over the radial styloid process during lunar deviation of the wrist.

• #1 De Quervain’s Tenosynovitis Test | Hand Therapy Academy

  https://www.handtherapyacademy.com/diagnoses/a-better-test-for-de-quervainss/

  J. F. Goubau, L. Goubau, A. Van Tongel, P. Van Hoonacker, D. Kerckhove, B. Berghs (2013).The wrist hyperflexion and abduction of the thumb (WHAT) test: a more specific and sensitive test to diagnose de Quervain tenosynovitis than the Eichhoffs Test. […] The WHAT test is performed as follows: the wrist is hyperflexed and the thumb abducted in full MP and IP extension, resisted against the therapists index finger. Exacerbation of the symptomatology is considered a positive test result. […] This study compares Eichoffs test to a new test called The Wrist Hyperflexion and Abduction of the Thumb test (wrist hyperabduction test WHAT). […] Each patient underwent the Eichoffs test and the WHAT test in random order by two experienced hand surgeons (test for de quervains tenosynovitis). […] Patients who tested positive under either test were sent for X-ray and ultrasonography to confirm the diagnosis of de Quervains.

• #1 WHAT Test | De Quervain’s tendinitis | Gamer’s Thumb Assessment

  https://www.physiotutors.com/wiki/what-test/

  De Quervains disease is defined as tenosynovitis of the abductor pollicis longus and the extensor pollicis brevis tendons due to repetitive hand or wrist movements. […] Goubau et al. in the year 2014 came up with the WHAT test. They found a very high sensitivity of 99% with a low specificity of 29% in the diagnosis of de Quervains disease on ultrasound. […] This is the only study evaluating this test so far, which is why we give it a moderate clinical value to rule out De Quervains disease, while it does not seem to be useful to confirm the disease. […] The WHAT test was designed to isolate the abductor pollicis longus and extensor pollicis brevis tendons while giving the patient active control over the pain elicited by the test. […] This test is positive if the patient experiences pain on resisted pressure against the examiner.

• #1 De Quervain’s Tenosynovitis Test | Hand Therapy Academy

  https://www.handtherapyacademy.com/diagnoses/a-better-test-for-de-quervainss/

  The accuracy of Eichoffs test was .84 while the accuracy of the WHAT test was .94, suggesting that the latter performs better overall in establishing the correct diagnosis. […] A new test known as the WHAT test was developed due to the controversy associated with the accuracy of Eichoffs test, and also the need for a more patient-friendly test for use in daily practice. […] This study found the WHAT test to be superior in all categories. […] Using ultrasound technology to confirm the results of the in-clinic provocative testing provides a reliable diagnosis for comparison.

• #1 de Quervain’s Tenosynovitis: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/rheumatoid-arthritis/de-quervains-disease

  De Quervain’s tenosynovitis is inflammation around the tendons in your thumb that leads to painful swelling. […] Your doctor will check your hand to see if it hurts when pressure is applied to the thumb side of your wrist. […] Next, you’ll get the Finkelstein test. The doctor will ask you to bend your thumb across your palm. Then you’ll bend your fingers down over your thumb to make a fist. This movement stretches your tendons. If it hurts on the thumb side of your wrist, you probably have de Quervain’s tenosynovitis. […] You might get X-rays or other imaging tests to check for an underlying problem like osteoarthritis.

• #1 De Quervain tenosynovitis | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/de-quervain-tenosynovitis?lang=us

  De Quervain tenosynovitis, also known as washerwoman’s sprain/strain, is a painful stenosing tenosynovitis involving the first extensor (dorsal) tendon compartment of the wrist (typically at the radial styloid). This compartment contains the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. […] Patients present with pain on thumb and wrist movement and with focal tenderness and swelling over the radial styloid. There is usually a positive Finkelstein test (pain on passive ulnar deviation) although this is not pathognomonic. […] Ultrasound is very often diagnostic. Findings include edematous tendon thickening of APL and EPB at the level of the radial styloid (compare with the contralateral side), increased fluid within the first extensor tendon compartment tendon sheath, thickening of overlying retinaculum and the synovial sheath, peritendinous subcutaneous edema resulting in a hypoechoic halo sign, and peritendinous subcutaneous hyperemia on Doppler imaging.

• #1 De Quervain tenosynovitis | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/de-quervain-tenosynovitis?lang=us

  MRI is very sensitive and specific and useful for detecting mild disease where ultrasound may be equivocal. Presence or absence of intertendinous septum can be assessed. Findings include tenosynovitis with increased fluid within tendon sheath, debris within sheath, thickened edematous retinaculum, peritendinous subcutaneous edema, and surrounding subcutaneous edema and increased intratendinous signal may be present as an ancillary feature. […] Conservative treatment with anti-inflammatory medications, rest and splinting can be effective. Corticosteroid injection into the tendon sheath is usually very effective with 50% of patients experiencing symptom resolution after one injection. A second injection given at least a month later permanently relieves symptoms in another 40-45% of patients.

• #1 De Quervain’s Tendonitis – Colorado Center of Orthopaedic Excellence

  https://ccoe.us/hand-wrist/de-quervains-tendonitis/

  De Quervains tendonitis is relatively simple to diagnose in the doctors office. […] A technique specifically designed to test for De Quervains is called the Finkelstein test. It involves first bending the wrist toward the baby or pinky finger, then bending the thumb across the palm. If the test is done correctly, people with the condition will feel pain in the area surrounding the thumb. Imaging tests such as X-rays generally arent needed to diagnose De Quervains tendonitis. […] A true diagnosis involves differential consideration of other conditions that may co-exist with De Quervains, including carpal tunnel syndrome, dorsal wrist ganglions, and cervical radiculopathies, sometimes called a pinched nerve.

• #1 De Quervain tenosynovitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/de-quervain-tenosynovitis/symptoms-causes/syc-20371332

  When you grip, grasp, clench, pinch or wring anything in your hand, two tendons in your wrist and lower thumb normally glide smoothly through the small tunnel that connects them to the base of the thumb. […] Chronic overuse, such as repeating a particular hand motion day after day, may irritate the covering around the tendons. If the covering becomes irritated, the tendons can thicken and swell. This thickening and swelling restrict the movement of the tendons through the small tunnel that connects them to the base of the thumb. […] When de Quervain tenosynovitis goes untreated, it can become difficult to use the hand and wrist properly. The wrist may lose some range of motion.

• #1 De Quervain Tenosynovitis | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/116164/all/De_Quervain_Tenosynovitis

  First identified in 1895 by Fritz De Quervain, de Quervain tenosynovitis is a painful condition due to stenosis of the tendon sheath in the 1st dorsal compartment of the radial aspect of the wrist. […] The overall incidence of de Quervain tenosynovitis is 0.9/1,000 person-years. […] For patients aged 40 years, the incidence is 1.4/1,000 person-years compared with 0.6/1,000 person-years for those aged 20 years. […] Women have an incidence rate ratio of 2.8/1,000 person-years compared with 0.6/1,000 person-years in men. […] Repetitive motions of the wrist and/or thumb result in microtrauma, metaplastic thickening of the tendons (EPB, APL), and narrowing of the surrounding tendon sheath. […] EPB and APL movement is resisted as they glide over the radial styloid, causing pain with movements of the thumb and wrist.

• #1 De Quervain Tenosynovitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK442005/

  For those individuals with persistent symptoms, splinting, systemic anti-inflammatories, and corticosteroid injections are the most frequently utilized nonsurgical treatment options. […] Corticosteroid injection has been reported to provide near complete relief with one or two injections in 52% to 90% of patients. […] If symptoms fail to improve or recur after two corticosteroid injections, operative management is an option. […] The diagnosis of de Quervain tenosynovitis is a clinical one based on the typical history and examination findings. […] Most patients are treated successfully with nonoperative management.

• #1 Potential effects, diagnosis, and management of De Quervain Tenosynovitis in the aesthetics community: A Brief Review, Case Example, and Illustrative Exercises

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10919949/

  To avoid surgery, an early onset diagnosis is important for a full recovery from this injury. […] The first step is rest and immobilization. […] After a diagnosis of DQT, the affected area needs rest from the mechanism of consistent injecting as well as other activities of daily living. […] Once the brace is discontinued, physical therapy (PT) and occupational therapy (OT) will be ordered to help regain strength and proper function to the injured area. […] Corticosteroid injections are a mainstay of treatment for DQT, with as many as 60 to 90 percent of patients reporting improvement in symptoms after one injection. […] Surgical release of the extensor retinaculum is performed as a treatment for DQT when conservative treatment fails. […] The goal of surgery is to release the tendon sheath to make room for the irritated tendons. […] The pain experienced with this syndrome can negatively impact the quality of life and work performance of many injectors. Proper body ergonomics, including stretching and strengthening the thumb, is key to manage this condition.

• #1 De Quervain’s Tenosynovitis: Symptoms and Treatment

  https://my.clevelandclinic.org/health/diseases/10915-de-quervains-tendinosis

  Your provider will tell you how long youll need treatment for de Quervains tenosynovitis. […] De Quervains tenosynovitis is very treatable and is usually a short-term issue. […] Visit a healthcare provider as soon as you notice pain or other symptoms of de Quervains tenosynovitis. […] De Quervains tenosynovitis is swelling in the sheath around your thumb tendons.

• #1 ✓ De Quervain’s Tenosynovitis – Diagnosis And Treatment

  https://drcarlosrebollon.com/en/de-quervains-tenosynovitis-diagnosis-and-treatments/

  De Quervain’s tenosynovitis is characterized by limited mobility of the hand and thumb. In the following paragraphs, we will describe what it is, its symptoms and causes, how it is diagnosed, and what the treatment involves. […] The specialist can determine if you have De Quervain’s tenosynovitis through a physical examination, where they will evaluate your symptoms by moving the wrist, thumb, and hand. In most cases, a wrist X-ray is not necessary to confirm the diagnosis. […] When De Quervain’s tenosynovitis is diagnosed and treated early, symptoms should disappear within a period of 4 to 6 weeks. If the patient underwent surgery, the recovery period is longer due to post-surgical recovery time, exercises, and therapies that need to be received. In this regard, it may take months before you can feel complete improvement in your wrist after surgery.

• #2 De Quervain’s Tenosynovitis – Clinical Features – Management – TeachMeAnatomy

  https://teachmesurgery.com/orthopaedic/wrist-and-hand/de-quervains-tenosynovitis/

  De Quervains tenosynovitis is caused by friction of the tendons within the first extensor compartment of the wrist against a thickened extensor retinaculum, resulting in wrist pain and swelling. […] De Quervains tenosynovitis involves the tendons of the first extensor compartment – extensor pollicis brevis and abductor pollicis longus. […] Patients with De Quervains tenosynovitis will often complain of pain near the base of the thumb with an associated swelling (secondary to thickening of the tendon sheath). Movements involving grasping or pinching are particularly painful and difficult. […] Finkelsteins test is often positive. […] De Quervains tenosynovitis is a clinical diagnosis, with no investigations required. […] Most cases can be managed conservatively with wrist splints and steroid injections, yet surgical decompression is available for resistant cases.

• #2

  https://www.orthobullets.com/hand/6026/de-quervains-tenosynovitis

  De Quervain’s Tenosynovitis is a stenosing tenosynovial inflammation of the 1st dorsal compartment. […] Diagnosis is made clinically with radial sided wrist pain made worse with the Finkelstein maneuver. […] Clinical diagnosis is made with careful history and physical examination.

• #2 De Quervain’s Syndrome Comprehensive Guide in Baton Rouge

  https://www.boneandjointclinicbr.com/blog/de-quervains-syndrome-relief-in-baton-rouge-a-comprehensive-guide

  De Quervain’s syndrome, also called De Quervain’s tenosynovitis, affects the tendons on the wrist on the thumb’s side. This condition makes daily tasks difficult due to the potential for wrist pain, edema, and limited movement. If you suffer from De Quervain’s syndrome, you can find relief with an appropriate treatment plan. […] A hand orthopedist will perform a comprehensive physical examination to diagnose De Quervain’s tenosynovitis. During this examination, they evaluate the affected wrist and thumb’s range of motion and any swelling, soreness, or pain along the tendon sheath. A Finkelstein’s test may also be administered, in which the patient forms a fist and bends their wrist toward the side of their little finger. In many cases, De Quervain’s syndrome is indicated if this motion causes acute wrist pain. Imaging tests, like an MRI or ultrasound, may occasionally be prescribed to rule out other illnesses or gauge the degree of inflammation. Overall, a combination of clinical evaluation and diagnostic tests helps healthcare providers accurately diagnose De Quervain’s tenosynovitis and develop an appropriate treatment plan.

• #2 De Quervain’s Tenosynovitis: Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/de-quervains-tenosynovitis/treatment

  De Quervain’s tenosynovitis can often be diagnosed during a physical exam. Your doctor will check your hand and wrist for swelling and see if you feel pain when pressure is placed on the thumb side of the wrist. […] Your physician may also perform the Finkelstein test, in which youll make a fist with your thumb under your fingers and bend your wrist toward your pinky finger. If you feel pain along the thumb side of your wrist, you may have de Quervain’s tenosynovitis. Imaging exams such as X-rays are not usually needed.

• #2 De Quervain’s Tenosynovitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/de-quervains-tendinosis/

  De Quervain’s tenosynovitis is swelling of the tendons that run along the thumb side of the wrist and attach to the base of the thumb. This occurs when the tendons are constricted by the sheath that they run through to get from the wrist to the hand. […] To determine whether you have De Quervain’s tenosynovitis: Your doctor may touch along the thumb side of your wrist, looking for pain and swelling. You may be asked to perform the Finkelstein/Eichhoff test, which involves placing your thumb in your palm, grasping it with your other fingers, and bending your wrist toward your little finger. The test is positive, indicating you may have De Quervain’s tenosynovitis, if you experience pain during the maneuver. […] De Quervain’s tendinosis is treated by reducing the swelling/irritation of the tendons and tendon sheath, thereby relieving the pain caused by the condition. […] Most patients with De Quervain’s tenosynovitis do very well and are ultimately relieved of their symptoms with nonsurgical and/or surgical treatment.

• #2 De Quervain’s Tenosynovitis | Diagnosis & Treatment for Physios

  https://www.physiotutors.com/conditions/de-quervains-tenosynovitis/

  To perform the test Dawson et al. (2010) recommend a three-stage process that is well tolerated and able to diagnose de Quervains tenonitis accurately. […] A positive test result is recorded if the patient experiences increased pain over the tip of the styloid process. […] In the literature, theres a lot of confusion regarding the original version of the Finkelstein test. […] This test is positive if your patient experiences pain over the tendons of the extensor pollicis brevis and abductor pollicis longus which both form the medial base of the anatomical snuffbox. Due to its very provocative nature, Eichhoffs test can cause a lot of false positives which is why we recommend rather to perform the original version of the Finkelstein test.

• #2 WHAT Test | De Quervain’s tendinitis | Gamer’s Thumb Assessment

  https://www.physiotutors.com/wiki/what-test/

  De Quervains disease is defined as tenosynovitis of the abductor pollicis longus and the extensor pollicis brevis tendons due to repetitive hand or wrist movements. […] Goubau et al. in the year 2014 came up with the WHAT test. They found a very high sensitivity of 99% with a low specificity of 29% in the diagnosis of de Quervains disease on ultrasound. […] This is the only study evaluating this test so far, which is why we give it a moderate clinical value to rule out De Quervains disease, while it does not seem to be useful to confirm the disease. […] The WHAT test was designed to isolate the abductor pollicis longus and extensor pollicis brevis tendons while giving the patient active control over the pain elicited by the test. […] This test is positive if the patient experiences pain on resisted pressure against the examiner.

• #2 De Quervain’s Tenosynovitis: Effective Diagnosis and Evidence-Based Treatment | IntechOpen

  https://www.intechopen.com/chapters/64725

  The wrist hyperflexion and abduction of the thumb (WHAT) test revealed greater sensitivity and an improved specificity together with a slightly better positive predictive value and an improved negative predictive value compared with Eichhoffs test in one study. […] Plain radiographs are nondiagnostic of the condition but may show nonspecific signs and can help exclude other causes of pain such as fracture, carpometacarpal arthritis, and osteomyelitis. […] Ultrasound is very often diagnostic. […] MRI is very sensitive and specific and useful for detecting mild disease where ultrasound may be equivocal.

• #2 De Quervain tenosynovitis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/de-quervain-tenosynovitis?content_id=CON-20371316

  To diagnose de Quervain tenosynovitis, your health care provider will examine your hand to see if you feel pain when pressure is applied on the thumb side of the wrist. […] You may be asked to perform a Finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Then you bend your wrist toward your little finger. If this causes pain on the thumb side of your wrist, you likely have de Quervain tenosynovitis. […] Imaging tests, such as X-rays, generally aren’t needed to diagnose de Quervain tenosynovitis.

• #2 De Quervain Tenosynovitis Workup: Radiography

  https://emedicine.medscape.com/article/1243387-workup

  Although the thickened first dorsal compartment can be bony hard, the thickening is made up of fascia and tendon. Radiographs are negative and are not necessary for routine diagnosis. However, it should be emphasized that radiographs should be obtained to rule out other conditions that may be responsible for the patient’s pain. […] Radiographs may be helpful in differentiating the patient who has de Quervain tenosynovitis from one who has osteoarthritis at the thumb carpometacarpal (CMC) joint or who is suffering from both conditions. […] In de Quervain tenosynovitis, the first dorsal compartment is thickened, raising the skin and creating a prominence at the radial styloid. […] The Finkelstein test draws the tendons of the first dorsal compartment distally and causes sharp, local pain when tendon entrapment has occurred and inflammation is present.

• #2 De Quervain tenosynovitis – WikEM

  https://wikem.org/wiki/De_Quervain_tenosynovitis

  The modified Eichoff maneuver, commonly called the „Finkelstein’s test.” The arrow mark indicates where the pain is worsened in de Quervain syndrome. […] Positive Eichoff test […] Positive Finkelstein’s test […] US diagnostic […] Intertendinous septum (hypoechoic area between EPB and APL) increases need for operative management […] Intertendinous septum presence increases likelihood of needing surgery.

• #2 3 Quick Tests for De Quervain’s / Mommy Thumb – Diagnose Yourself

  https://tenniselbowclassroom.com/wrist-finger-thumb/de-quervains-syndrome-tests/

  How do you know if you have De Quervains Syndrome? (A form of Tenosynovitis also known as Mommy Thumb, Smartphone Thumb and Gamers Thumb.) Just do these three simple tests. […] First of all, if you have De Quervains Syndrome, your worst symptoms will be on the back side of your thumb right at your wrist. […] If it hurts in the spot where your thumb tendons cross your wrist thats a positive sign for De Quervains Syndrome. […] If this produces pain (on the thumb side of the back of your wrist and the back of your thumb) then its a positive sign of De Quervains. […] If the tests are positive And you need to learn more about this painful thumb condition this article should help: What IS De Quervains Tenosynovitis? AKA, Mommy / Gamers / Texters Thumb. […] If the tests are NOT positive But you have pain in your thumb or back side of your wrist, here are some other possible conditions you may want to explore.

• #2 Potential effects, diagnosis, and management of De Quervain Tenosynovitis in the aesthetics community: A Brief Review, Case Example, and Illustrative Exercises

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10919949/

  To avoid surgery, an early onset diagnosis is important for a full recovery from this injury. […] The first step is rest and immobilization. […] After a diagnosis of DQT, the affected area needs rest from the mechanism of consistent injecting as well as other activities of daily living. […] Once the brace is discontinued, physical therapy (PT) and occupational therapy (OT) will be ordered to help regain strength and proper function to the injured area. […] Corticosteroid injections are a mainstay of treatment for DQT, with as many as 60 to 90 percent of patients reporting improvement in symptoms after one injection. […] Surgical release of the extensor retinaculum is performed as a treatment for DQT when conservative treatment fails. […] The goal of surgery is to release the tendon sheath to make room for the irritated tendons. […] The pain experienced with this syndrome can negatively impact the quality of life and work performance of many injectors. Proper body ergonomics, including stretching and strengthening the thumb, is key to manage this condition.

• #2 De Quervain tenosynovitis | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/de-quervain-tenosynovitis?lang=us

  MRI is very sensitive and specific and useful for detecting mild disease where ultrasound may be equivocal. Presence or absence of intertendinous septum can be assessed. Findings include tenosynovitis with increased fluid within tendon sheath, debris within sheath, thickened edematous retinaculum, peritendinous subcutaneous edema, and surrounding subcutaneous edema and increased intratendinous signal may be present as an ancillary feature. […] Conservative treatment with anti-inflammatory medications, rest and splinting can be effective. Corticosteroid injection into the tendon sheath is usually very effective with 50% of patients experiencing symptom resolution after one injection. A second injection given at least a month later permanently relieves symptoms in another 40-45% of patients.

• #2 De Quervain Syndrome – Musculoskeletal and Connective Tissue Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/de-quervain-syndrome

  De Quervain syndrome is stenosing tenosynovitis of the short extensor tendon (extensor pollicis brevis) and long abductor tendon (abductor pollicis longus) of the thumb within the first extensor compartment. […] Diagnosis of De Quervain syndrome is highly suggested by the Finkelstein test. The patient adducts the involved thumb into the palm and wraps the fingers over the thumb. The test is positive if gentle passive ulnar deviation of the wrist provokes severe pain at the affected tendon sheaths. A positive hitchhiker’s maneuver (pain elicited along first extensor compartment during resisted thumb extension) is also highly suggestive. […] Local corticosteroid injections and a thumb spica splint help 60 to 80% of cases. Tendon rupture is a rare complication of injection and can be prevented by confining infiltration to the tendon sheath and avoiding injection of the corticosteroid into the tendon. […] Surgical release of the first extensor compartment is very effective when conservative therapy fails.

• #2 De Quervain’s Tenosynovitis | Penn State Health

  https://www.pennstatehealth.org/services-treatments/de-quervains-tenosynovitis

  De Quervains tenosynovitis is a condition that causes painful swelling in the tendons and tendon sheaths of your thumb. […] De Quervains tenosynovitis is typically diagnosed with the Finkelstein test, in which you make a closed fist and bend your wrist in an up and down motion. If the movement causes pain, you may have de Quervains tenosynovitis. […] In most cases, de Quervains tenosynovitis is a temporary condition that responds well to treatment. However, if the condition is left untreated, it can permanently affect the function of your hand, thumb or wrist.

• #2 De Quervain’s and special tests

  https://www.handtherapyacademy.com/evaluation/title-understanding-de-quervains-pathology-a-comprehensive-exploration-of-special-tests/

  De Quervains tenosynovitis is a condition characterized by inflammation of the tendons on the thumb side of the wrist, causing pain and discomfort. The various special tests play a crucial role in identifying and confirming this pathology. […] Finkelsteins test is a well-known and widely used diagnostic maneuver for assessing De Quervains tenosynovitis. A positive finding includes pain along the radial side of the wrist, particularly over the first dorsal compartment, indicating of inflammation in the abductor pollicis longus and extensor pollicis brevis tendons. […] Eichhoffs test, often confused with Finkelsteins, involves a different maneuver. Hand therapists need to differentiate between these maneuvers for accurate diagnosis and appropriate treatment. […] The WHAT test presents several advantages over traditional tests like Eichhoffs and Finkelsteins in the diagnosis of De Quervains tenosynovitis. The WHAT test combines hyperflexion and abduction of the wrist. This unique combination aims to reproduce symptoms more effectively by stressing the tendons involved in De Quervains pathology, providing a broader and potentially more accurate assessment.

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