This painful condition affects the tendons on the thumb side of the wrist. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a condition that is. It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around the base of the thumb become swollen, often causing inflammation to develop. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. Tenosynovitis of the extensor tendons of the first compartment of the extensor tendons. A tendon sheath protective covering wraps around these tendons so that they can slide easily see figure 1. Directly before the wrist imagine an extension from the thumb to the forearm exist a tunnel. Symptoms may include pain or tenderness when moving the thumb, turning the wrist, grasping something, or making a fist. The number of people in the uk that officially suffer from tenosynovitis as per the statistics from the health and safety executive are decreasing steadily over the years. When considering annual statistics from the past 20 years the annual high came in 19921993 when 910 people were classed as suffering from tenosynovitis of this 910. This allows you to turn your wrist, grip, and pinch with your hand. These tendons are responsible for helping to extend the thumb, and they glide through a protective covering called a tendon sheath. Those who have it likely hurt when turning their wrist, grasping anything or making a fist.
Extensor pollicis brevis and abductor pollicis longus are two tendons located on the thumb side of the wrist. The muscles and bones of the hand are connected by thick flexible tissue called tendons. Tendons are covered by a thin soft sheath of tissue known as synovium. The condition occurs when the tendons of the thumb at the wrist become inflamed, often following repetitive use. Aug 05, 2016 quick selftest for dequervains tenosynovitis perform the finkelstein test. Tendons control mobility within the extremities and are the tissues that attach muscle to hand and finger bones. Dequervains tenosynovitis inflammation of the tendons of the thumb. In other words, make a fist with your thumb inside your. Treatment can involve rest and splinting, cortisone injection, or, if all else fails, surgery to release the tight compartment.
It is a common problem affecting the wrist and is usually easy to diagnose. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a condition that is caused by inflammation of tendons of the thumb at the wrist, characterized by pain and swelling in the thumb and wrist areas. Easy selftest for dequervains tenosynovitis youtube. Dequervains tenosynovitis dequervains tenosynovitis. Been pretty stupid about it in the first year and just kept hookgriping through it. To chronicle the conservative treatment and management of a 32year old female patient presenting with radial wrist pain of 4.
This is typically caused by overuse especially from activities that require forceful gripping while flexing and extending the wrist. The guest edited thematic issues are published free of charge. It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around. It can be caused by repetitive motion, injury, or aging.
The tendon is free to move through its tendon sheath. Lift your thumb away from your palm to make a c shape. Once your symptoms are better, work to prevent the condition from happening again. If this condition isnt treated, it can permanently limit your movement or cause the tendon sheath to burst. The thumb motion is restricted by the swollen tendons. Place your hand on a flat surface, with your palm up. Pagonis t, ditsios k, toli p, givissis p, christodoulou a. Quick selftest for dequervains tenosynovitis perform the finkelstein test. In other words, make a fist with your thumb inside your fingers. Ultimately, the patient was able to return to work pain free. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig. Symptoms may include pain or tenderness when moving the thumb. Two or sometmes three tendons run through this canal to the thumb. Swelling of the tendons around the base of the thumb can irritate the sheath in which they move.
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