De Quervain's Tenosynovitis: Difference between revisions
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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This is a wiki created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This is a wiki created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | ||
'''Original | '''Original Editor '''- [[User:Elizabeth Dallas|Elizabeth Dallas]], [[User:Boris Alexandra|Boris Alexandra]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Definition/Description == | == Definition/Description == | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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<references /> | <references /> | ||
== Search Strategy == | |||
add text here related to databases searched, keywords, and search timeline <br> | |||
== Clinically Relevant Anatomy<br> == | == Clinically Relevant Anatomy<br> == | ||
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DeQuervains occurs in women 8-10 times more often than men. <ref name="web MD">What is de Quervain's Disease? www.webmd.com/rheumatoid-arthritis/de-quervains-disease (accessed 15 Dec 2009)</ref>The condition can be sudden or gradual. Presents most commonly with pain and/or swelling on the radial side of the wrist at the base of the thumb (first dorsal compartment). Symptoms increase with pinching, grasping, and gripping activities. Pain at the thumb and wrist can progress up the forearm. New mothers are prone to this due to child care tasks with lifting, holding and feeding placing the hand in awkward positions; as well as hormonal changes. <ref name="hand">assh.org/Public/HandConditions/Pages/deQuervain'sTendonitis.aspx (accessed 13 Dec 2009)</ref> | DeQuervains occurs in women 8-10 times more often than men. <ref name="web MD">What is de Quervain's Disease? www.webmd.com/rheumatoid-arthritis/de-quervains-disease (accessed 15 Dec 2009)</ref>The condition can be sudden or gradual. Presents most commonly with pain and/or swelling on the radial side of the wrist at the base of the thumb (first dorsal compartment). Symptoms increase with pinching, grasping, and gripping activities. Pain at the thumb and wrist can progress up the forearm. New mothers are prone to this due to child care tasks with lifting, holding and feeding placing the hand in awkward positions; as well as hormonal changes. <ref name="hand">assh.org/Public/HandConditions/Pages/deQuervain'sTendonitis.aspx (accessed 13 Dec 2009)</ref> | ||
== Differential Diagnosis<br> == | |||
1. Osteoarthritis of the first CMC joint<ref name="Wikipedia" /><ref name="Wheeless">DeQuervain's Disease - Wheeless' Textbook of Orthopaedics www.wheelssonline.com/ortho/dequervains_disease (accessed 13 Dec 2009)</ref><br>2. Intersection syndrome – pain will be more towards the middle of the back of the forearm and about 2-3 inches below the wrist<ref name="Wikipedia" /><ref name="Wheeless" /><br>3. Wartenberg’s Syndrome - isolated neuritis of the superficial radial nerve, can be caused by tight jewelry<ref name="Wikipedia" /><ref name="Wheeless" /><br><br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
add text here | |||
== Examination == | |||
Finkelstein test <br>[http://en.wikipedia.org/wiki/File:Originaler_Finkelstein-Test.jpg#file en.wikipedia.org/wiki/File:Originaler_Finkelstein-Test.jpg#file] | Finkelstein test <br>[http://en.wikipedia.org/wiki/File:Originaler_Finkelstein-Test.jpg#file en.wikipedia.org/wiki/File:Originaler_Finkelstein-Test.jpg#file] | ||
== Management | == Medical Management (current best evidence) == | ||
<br>Surgery: <br>The sheath of the first dorsal compartment is opened longitudinally for decompression.<br> | <br>Surgery: <br>The sheath of the first dorsal compartment is opened longitudinally for decompression.<br> | ||
== | == Physical Therapy Management (current best evidence) == | ||
Non Operative:<br>Rest: activity modification and use of brace/splint for the thumb and wrist. <br>Anti-inflammatory: oral medication, phonophoresis, inotophoresis, or cold packs.<br>Injection: steroid | |||
== Key | == Key Research == | ||
add | add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== Resources <br> == | == Resources <br> == | ||
add appropriate resources here | add appropriate resources here <br> | ||
== | == Clinical Bottom Line == | ||
add | add text here <br> | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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[[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Hand]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]] | [[Category:Vrije_Universiteit_Brussel_Project]] [[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Hand]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]] | ||
Revision as of 10:49, 9 November 2010
Original Editor - Elizabeth Dallas, Boris Alexandra
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Examination[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
Search Strategy[edit | edit source]
add text here related to databases searched, keywords, and search timeline
Clinically Relevant Anatomy
[edit | edit source]
De Quervain's tenosynovitis involves the abductor pollicis longus and the extensor pollicis brevis tendons. Both muscles and tendons extend the thumb backwards or move the thumb away from the palm, radial abduction. These tendons perform similar movement and run from the forearm to the thumb.
Mechanism of Injury / Pathological Process
[edit | edit source]
Usually caused by a new repetitive activity such as gardening, knitting, racket sports, or work tasks. In the technology age is has been nicknamed “Blackberry Thumb”[1]
Clinical Presentation[edit | edit source]
DeQuervains occurs in women 8-10 times more often than men. [2]The condition can be sudden or gradual. Presents most commonly with pain and/or swelling on the radial side of the wrist at the base of the thumb (first dorsal compartment). Symptoms increase with pinching, grasping, and gripping activities. Pain at the thumb and wrist can progress up the forearm. New mothers are prone to this due to child care tasks with lifting, holding and feeding placing the hand in awkward positions; as well as hormonal changes. [3]
Differential Diagnosis
[edit | edit source]
1. Osteoarthritis of the first CMC joint[1][4]
2. Intersection syndrome – pain will be more towards the middle of the back of the forearm and about 2-3 inches below the wrist[1][4]
3. Wartenberg’s Syndrome - isolated neuritis of the superficial radial nerve, can be caused by tight jewelry[1][4]
Diagnostic Procedures[edit | edit source]
add text here
Examination[edit | edit source]
Finkelstein test
en.wikipedia.org/wiki/File:Originaler_Finkelstein-Test.jpg#file
Medical Management (current best evidence)[edit | edit source]
Surgery:
The sheath of the first dorsal compartment is opened longitudinally for decompression.
Physical Therapy Management (current best evidence)[edit | edit source]
Non Operative:
Rest: activity modification and use of brace/splint for the thumb and wrist.
Anti-inflammatory: oral medication, phonophoresis, inotophoresis, or cold packs.
Injection: steroid
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1nikJOfn1NVSyAePQ--FTd4TUttaJMgxF_8IrtH5abbU4kuQtO|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 1.2 1.3 Wikipedia. De Quervain syndrome. www.en.wikipedia.org/wiki/DeQuervain's_syndrome (accessed 13 Dec 2009)
- ↑ What is de Quervain's Disease? www.webmd.com/rheumatoid-arthritis/de-quervains-disease (accessed 15 Dec 2009)
- ↑ assh.org/Public/HandConditions/Pages/deQuervain'sTendonitis.aspx (accessed 13 Dec 2009)
- ↑ 4.0 4.1 4.2 DeQuervain's Disease - Wheeless' Textbook of Orthopaedics www.wheelssonline.com/ortho/dequervains_disease (accessed 13 Dec 2009)
