- Washer woman's sprain
- Radial styloid tenosynovitis
- DeQuervain’s tenosynovitis
- De Quervain disease
- De Quervain's tenosynovitis
- De Quervain's stenosing tenosynovitis
- Mother's wrist
- Mommy thumb
- 727.04 Radial styloid tenosynovitis
- M65.4 Radial styloid tenosynovitis [de Quervain]
- Inflammation and thickening of the abductor
pollicis longus and extensor pollicis brevis synovial tendon sheaths
and extensor retinaculum2
- Named after Swiss surgeon, Fritz de Quervain
- Tenderness with palpation
- Positive resisted isometric test in thumb abduction and extension
- Finkelstein’s test is best for diagnosis
- Entrapment tendonitis, tendon friction
- Often a direct result of repetitive stress or chronic overuse
of extensor and abductor muscles causing excessive friction to tendon
- Patients likely to develop adhesions and irritation between
tendons and their sheaths
- Mostly found in women aged 30 to 50 years, possibly due
to great angle of the styloid process
- Common among individuals who perform any activity requiring
repetitive hand and wrist movement
- At-risk populations include
- Massage therapists
- Office workers
- Pregnant and postpartum women
- Forearm pain
- Crepitus of tendons within the extensor sheath
- Unilateral palmer pain and swelling
- Tendon friction rub
- Upper-extremity pain
- Weak thumb abduction
- Decreased grip strength
- Wrist pain and swelling
- Decreased abduction ROM of the carpometacarpal (CMC) joint,
- Pain with thumb activity, worsens when combined with wrist
radial or ulnar deviation
- Pain with pinching, grasping, squeezing, holding heavy
- Pain with movements of hand and wrist
- Loss of strength
- Tendon rupture
- Occupations that require repetitive use of hands for excessive
periods of time
- A direct trauma to the tendon or wrist
- Inflammatory arthritis, such as rheumatoid arthritis
Means of Confirmation
- X-ray to rule out arthritis at thumb CMC joint
- To primary or secondary healthcare ...
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