Rapid Review: de Quervain Tenosynovitis - RoshReview.com

Rapid Review: de Quervain Tenosynovitis

August 17, 2017

Reviewed January 2024

de Quervain Tenosynovitis

  • Tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons
  • Pain along radial aspect of wrist and with abduction of thumb
  • PE: pain on ulnar wrist deviation while passively flexing the thumb to the palm (Finkelstein test)
  • Tx: thumb spica splint, NSAIDs, local glucocorticoid injections (severe symptoms)

Sample question:

A 20-year-old man who is employed in construction presents with pain to his thumb and wrist for 4 months. He states that the pain worsens while he is working. Examination reveals pain along the radial surface of the wrist with forced ulnar abduction. What management is indicated?

By Yehuda Wolf, MPA, PA-C

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