DE QUERVAIN’S DE QUERVAIN’S DISEASEDISEASE

Stenosing tenosynovitis of the 1 st Stenosing tenosynovitis of the 1 st dorsal compartment of wristdorsal compartment of wrist

APL & EPBAPL & EPB

DD

EXACT CAUSE NOT KNOWNEXACT CAUSE NOT KNOWN

WOMEN 30 TO 50 YWOMEN 30 TO 50 Y

REPEATED OVER USEREPEATED OVER USE

CFCF

PAIN ,SWELLING OVER RADIAL PAIN ,SWELLING OVER RADIAL STYLOIDSTYLOID

LIMITATION OF MVT OF INVOLVED LIMITATION OF MVT OF INVOLVED TENDONTENDON

TENDERNESS ELICITED BY SUDDEN TENDERNESS ELICITED BY SUDDEN ULNAR DEVIATION OF FLEXED HAND ULNAR DEVIATION OF FLEXED HAND

FINKELSTEIN’S TESTFINKELSTEIN’S TEST

TREATMENTTREATMENT

RESTREST

NSAIDNSAID

LOCAL INFILTRATION OF LOCAL INFILTRATION OF STEROIDSTEROID

WRIST IMMOBILISATIONWRIST IMMOBILISATION

ULTRASONIC RADIATIONULTRASONIC RADIATION

SURGERY DIVISION OF SURGERY DIVISION OF RETINACULUMRETINACULUM

TRIGGER FINGER TRIGGER FINGER

STENOSING TENOVAGINITIS OF STENOSING TENOVAGINITIS OF FLEXOR TENDON SHEATHFLEXOR TENDON SHEATH

ENTRAP THE TENDONENTRAP THE TENDON

LOCK THE FINGER IN A FLEXED LOCK THE FINGER IN A FLEXED POSITIONPOSITION

FLEXOR TENDON GRADUALLY DEVELOP FLEXOR TENDON GRADUALLY DEVELOP CONSTRICTION UNDER RETINACULAM AND CONSTRICTION UNDER RETINACULAM AND BULGE PROXIMAL TO ITBULGE PROXIMAL TO IT

SWOLLEN SEGMENT DOES NOT ENTER THE SWOLLEN SEGMENT DOES NOT ENTER THE SHEATH WHEN EXTEND THE FINGERSHEATH WHEN EXTEND THE FINGER

LOCKING OF FINGERLOCKING OF FINGER

POWERFUL EXTENSION PRODUCE SNAPS AS POWERFUL EXTENSION PRODUCE SNAPS AS IT PASSES THROUGH CONSTRICTIONIT PASSES THROUGH CONSTRICTION

TREATMENTTREATMENT

SPLINING OF FINGERSPLINING OF FINGER

NSAIDNSAID LOCAL STEROIDLOCAL STEROID SURGICAL EXCISIONSURGICAL EXCISION