Page 1 of 1: ortho--miscelleneous but imp topics--discuss here

tanmay_mehta · Credits: 16721 My Scrapbook My Reading List 3 Books

De Quervains Disease

Stenosing tenovaginitis of the first dorsal extensor compartment

Treatment
non operative
rest
steroid injection
anti-inflamatory

operative

tanmay_mehta · Credits: 16721 My Scrapbook My Reading List 3 Books

Trigger Fingers

stenosing tenovaginitis of the
flexor tendon sheath(A1 pulley)

aetiology

congenital (thumb)

often not recognised until toddlers
30% resolve spontaneously

acquired (middle aged)

idiopathic
traumatic
diabetes
rheumatoid

treatment
non operative
steroid injection

operative
release of A1 pulley

mehndi · Credits: 17630 My Scrapbook

Also known as stenosing tenovaginitis
Due to inflammation and thickening of tendon sheaths of
Extensor pollicis brevis
Abductor pollicis longus
Occurs where both tendons cross the distal radius
Clinical features
Usually presents in middle age
Pain noted over radial aspect of wrist
Often occurs after repetitive activity
Tendon sheath is thickened and tender over the radial styloid
Pain often worsened by abduction of thumb against resistance
Passive abduction across palm often causes pain (=Finkelstein's test)
Management
Symptoms can often be improved with steroid injections into tendon sheath
Persistent symptoms require surgery
Tendon sheath should be split avoiding the dorsal sensory

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