De Quervain’S Syndrome

(De Quervain’s syndrome; washerwomen sprain)

The de Quervain’s syndrome is a stenosing tenosynovitis the short extensor tendon (extensor pollicis brevis) and the long Abduktorensehne (abductor pollicis longus) of the thumb within the first Extensorenkompartiments.

The de Quervain’s syndrome usually occurs at constant use of the wrist (z. B. when wringing out) and uncommon in RA patients. The main symptom is a sharp pain in the wrist and thumb, which is enhanced by movement. Tenderness can be immediately proximal to the radial Proc. styloid trigger over the course of the tendon sheaths affected. The diagnosis can be made most likely by the Finkelstein test: This adduction of the thumb in question takes place in the palm of the hand, the other fingers are placed over the thumb. The test is positive if a light passive ulnar deviation of the wrist causing massive pain in the affected tendon sheaths.

The de Quervain’s syndrome is a stenosing tenosynovitis the short extensor tendon (extensor pollicis brevis) and the long Abduktorensehne (abductor pollicis longus) of the thumb within the first Extensorenkompartiments. The de Quervain’s syndrome usually occurs at constant use of the wrist (z. B. when wringing out) and uncommon in RA patients. The main symptom is a sharp pain in the wrist and thumb, which is enhanced by movement. Tenderness can be immediately proximal to the radial Proc. styloid trigger over the course of the tendon sheaths affected. The diagnosis can be made most likely by the Finkelstein test: This adduction of the thumb in question takes place in the palm of the hand, the other fingers are placed over the thumb. The test is positive if a light passive ulnar deviation of the wrist causing massive pain in the affected tendon sheaths. Therapy Kortikosteroidinjektion thumb spica splint Occasionally surgery In mild cases, rest, application of moist heat and NSAIDs sufficient help. 70-80% of cases require local corticosteroid injections and a spica thumb splint. A rare complication of Kortikosteroidinjektion is a tendon rupture, they can be avoided by strictly limiting the injection to the tendon sheath and knockout of the tendon itself. The risk that the tendon was taken can be recognized when inserted through an increased resistance of the needle. Upon failure of conservative measures also a surgical supply of exposing the first Extensorenkompartiments must be done.

Health Life Media Team

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