346 results match your criteria De Quervain Tenosynovitis


Hand tendinopathy risk factors in Taiwan: A population-based cohort study.

Medicine (Baltimore) 2019 Jan;98(1):e13795

Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.

De Quervain's disease, carpal tunnel syndrome (CTS), and trigger finger (digit) are three common pathological conditions of the hand. They are considered overuse syndromes and occur predominantly in females. The prevalence rate and cause-specific risks of these three tendinopathies have not yet been clarified. Read More

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http://dx.doi.org/10.1097/MD.0000000000013795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344158PMC
January 2019
1 Read

Functional outcome of De Quervain's tenosynovitis with longitudinal incision in surgically treated patients.

Musculoskelet Surg 2019 Jan 1. Epub 2019 Jan 1.

Grant Govt Medical College and Sir J.J Group of Hospital, Mumbai, India.

Introduction: De Quervain described tenosynovitis of first dorsal compartment more than 120 years ago. Women, particularly of 4th-5th decades, are at more risk of developing disease. Steroid injection has been described as first line of management over many decades, but it is associated with some significant complications like depigmentation of skin, atrophy of subcutaneous tissue, suppurative tenosynovitis and even tendon rupture. Read More

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http://dx.doi.org/10.1007/s12306-018-0585-1DOI Listing
January 2019
2 Reads

[Parathyroid carcinoma: diagnosis by a femur fracture].

Acta Ortop Mex 2018 Jul-Aug;32(4):229-233

Departamento de Anatomopatología del Hospital Ángeles León. León, Guanajuato. México.

Background: Carcinoma of the parathyroid gland (PC) described by De Quervain since 1909, it represents the least common neoplasm, with an incidence of 1,25/10,000,000 peoples. It has been reported approximately 1,000 cases of CP in world literature. There are two series in Mexico, one of eight patients and other with four cases. Read More

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December 2018
7 Reads

Comments on "Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial".

Hand (N Y) 2018 Nov 27:1558944718813734. Epub 2018 Nov 27.

2 McGill University Health Center, Montreal, Quebec, Canada.

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http://dx.doi.org/10.1177/1558944718813734DOI Listing
November 2018
2 Reads

Prevalence of a Septated First Dorsal Compartment Among Patients With and Without De Quervain Tenosynovitis: An In Vivo Anatomical Study.

Hand (N Y) 2018 Nov 15:1558944718810864. Epub 2018 Nov 15.

1 Mount Sinai Beth Israel, New York, NY, USA.

Background: The reported prevalence of a subcompartment housing the extensor pollicis brevis (EPB) tendon within the first dorsal compartment varies widely in the literature, especially regarding the rates of occurrence between genders and among those with and without De Quervain. Based on direct intraoperative observation, we hypothesized that the prevalence of a septated compartment is far greater than previously reported, particularly in those with De Quervain disease.

Methods: A prospective analysis of consecutive patients who underwent first dorsal compartment release was carried out. Read More

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http://dx.doi.org/10.1177/1558944718810864DOI Listing
November 2018
1 Read

One portal endoscopic release of the first extensor compartment in de Quervain's disease.

Acta Orthop Traumatol Turc 2018 Nov 5. Epub 2018 Nov 5.

Department of Statistics, Turgut Özal Medical Center, İnönü University Medical School, Malatya, Turkey.

Objectives: We aimed to present preliminary result of one portal endoscopic assisted release of first dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method.

Materials And Methods: The patients, who underwent an endoscopic-assisted release of the first extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectively analyzed. Operative treatment was considered if the patients did not respond to non-operative treatment including oral anti-inflammatory medications, splinting, and steroid injection. Read More

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http://dx.doi.org/10.1016/j.aott.2018.10.004DOI Listing
November 2018
8 Reads

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018
20 Reads

The thickening of flexor tendons pulleys: a useful ultrasonographical sign in the diagnosis of psoriatic arthritis.

J Ultrasound 2018 Dec 15;21(4):309-314. Epub 2018 Oct 15.

Institute of Radiology, Department of Medicine, University of Padua, Via Giustiniani, 2, 35128, Padua, Italy.

Purpose: To investigate the frequency of thickening of pulleys for flexor tendons in patients with early arthritis in their hands, and to evaluate it as a predictive sign of PsA.

Methods: A prospective observational study involving 228 consecutive patients presenting with recent onset of arthritis in their hands was conducted at rheumatology outpatient clinics in the Veneto region of Italy between October 2014 and September 2017. Diabetic patients were excluded because of the high frequency of trigger finger. Read More

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http://link.springer.com/10.1007/s40477-018-0325-2
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http://dx.doi.org/10.1007/s40477-018-0325-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237712PMC
December 2018
3 Reads

[Short-Term Results of the Carpometacarpal Joint Arthroplasty Using the Ivory® Prosthesis].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):130-136

Ortopedické oddělení, Karvinská Hornická Nemocnice, a.s., Karviná - Nové Město.

PURPOSE OF THE STUDY Trapeziometacarpal osteoarthritis affects primarily postmenopausal middle-aged and older women. Total joint replacement is one of the surgical treatment options for symptomatic advanced degenerative changes of the carpometacarpal joint. This study aims to evaluate the short-term functional and radiological results of the Ivory ® prosthesis with the minimum followup period of three years after the surgery. Read More

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January 2019
3 Reads

Preiser disease after repeated local glucocorticoid injections: A case report.

Medicine (Baltimore) 2018 Sep;97(38):e12413

Department of Orthopaedic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Rationale: Preiser disease or avascular necrosis (AVN) of the scaphoid causes intolerable wrist pain and malalignment of the carpal bones. In previously reported cases, patients have had a history of steroid use for systemic illness such as autoimmune hemolytic anemia, systemic lupus erythematosus, or renal transplantation, or have had other risk factors, such as smoking, alcoholism, or infection. In particular, systemic glucocorticoid therapy has been most commonly associated with the disease. Read More

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http://dx.doi.org/10.1097/MD.0000000000012413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160132PMC
September 2018
2 Reads

Treatments for de Quervain Tenosynovitis.

Am Fam Physician 2018 Jun;97(12):Online

University of Pittsburgh Medical Center St. Margaret Family Medicine Residency Program, Pittsburgh, PA, USA.

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June 2018
2 Reads

Anomalous course and stenosing tenosynovitis of the extensor pollicis longus tendon at the radial styloid process: A case report.

Medicine (Baltimore) 2018 Sep;97(37):e12128

The Research Center for Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Rationale: Anomalous course and tenosynovitis of extensor pollicis longus (EPL) tendon is a rare condition that presents clinical symptoms very similar to de Quervain's disease. Herein we report a case of anomalous course and tenosynovitis of the extensor pollicis longus (EPL) tendon associated with symptoms of de Quervain's disease.

Patient Concerns: A 44-year-old right-handed man visited the clinic because of radial pain associated with the left wrist, which was aggravated during the previous 10 days. Read More

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http://dx.doi.org/10.1097/MD.0000000000012128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156004PMC
September 2018
14 Reads

Finkelstein's Test Is Superior to Eichhoff's Test in the Investigation of de Quervain's Disease.

J Hand Microsurg 2018 Aug 20;10(2):116-118. Epub 2018 Mar 20.

Department of Orthopaedics and Trauma, Manchester Royal Infirmary, Central Manchester University Hospitals, Manchester, United Kingdom.

de Quervain's tenosynovitis is a common pathologic condition of the hand. Finkelstein's test has long been considered to be a pathognomonic sign of this diagnosis, yet most clinicians and instruction manuals erroneously describe what is in fact the Eichhoff's test, which is thought to produce similar pain by tendon stretching in a normal wrist. The purpose of this study was to compare Finkelstein's test with Eichhoff's test in asymptomatic individuals. Read More

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http://dx.doi.org/10.1055/s-0038-1626690DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103758PMC
August 2018
38 Reads

Anatomical variations in the first extensor compartment: a cadaver study.

ANZ J Surg 2018 Sep 17;88(9):913-916. Epub 2018 Aug 17.

Department of Rehabilitation, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

Background: Anatomical variations in the first extensor compartment are associated with the pathogenesis of de Quervain's disease. Here, we report two novel anatomical variations of the first extensor compartment.

Methods: The wrists of two adult cadavers were dissected to reveal the anatomical variations in the first extensor compartment. Read More

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http://dx.doi.org/10.1111/ans.14808DOI Listing
September 2018
15 Reads

Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial.

Hand (N Y) 2018 Jul 30:1558944718791187. Epub 2018 Jul 30.

1 Rutgers New Jersey Medical School, Newark, USA.

Background: De Quervain tenosynovitis is commonly seen in patients who perform repetitive wrist ulnar deviation with thumb abduction and extension. Previous studies comparing nonsurgical options have contributed to a lack of consensus about ideal management. This study's purpose was to analyze results in prospectively randomized patients treated with either corticosteroid injection (CSI) alone versus CSI with immobilization. Read More

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http://dx.doi.org/10.1177/1558944718791187DOI Listing
July 2018
24 Reads

Factors Causing Prolonged Postoperative Symptoms Despite Absence of Complications After A1 Pulley Release for Trigger Finger.

J Hand Surg Am 2018 Jul 25. Epub 2018 Jul 25.

Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:

Purpose: This study aimed to investigate the incidence and prognostic factors for prolonged postoperative symptoms after open A1 pulley release in patients with trigger finger, despite absence of any complications.

Methods: We reviewed 109 patients (78 single-finger involvement, 31 multiple-finger involvement) who underwent open A1 pulley release for trigger finger from 2010 to 2016, with 8 weeks or longer postsurgical follow-up and without postoperative complications. The group had 16 men and 93 women, with mean age of 56 years (range, 21-81 years), and average follow-up period of 24. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.06.023DOI Listing
July 2018
37 Reads

Ultrasonography could be used to predict extended insertion of the EPB tendon noninvasively.

Surg Radiol Anat 2018 Sep 8;40(9):995-999. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan.

Introduction: An abnormal distal insertion of the extensor pollicis brevis (EPB) tendon into the thumb interphalangeal joint (IP) has been observed in refractory cases of de Quervain's disease. This is associated with the extensor being wider at the midpoint of the proximal phalanx; however, there is no method to noninvasively measure this. This study evaluated the accuracy of measuring the extensor width using ultrasonography, to establish a noninvasive method for predicting an EPB extending the IP insertion. Read More

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http://dx.doi.org/10.1007/s00276-018-2049-6DOI Listing
September 2018
3 Reads

Results of surgical treatment of De Quervain's tenosynovitis: 80 cases with a mean follow-up of 9.5 years.

Orthop Traumatol Surg Res 2018 Oct 23;104(6):893-896. Epub 2018 Aug 23.

Unité de chirurgie de la main, hôpital Trousseau, CRHU de Tours, route de Loches, 37044 Tours, France.

Introduction: Surgery is indicated in De Quervain's tenosynovitis only after failure of medical treatment, often due to individual anatomical variants. We use Le Viet's technique, to avoid tendon instability. The aim of the present study was to evaluate long-term results, with the hypothesis that this surgical technique is reliable, providing lasting results. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.04.022DOI Listing
October 2018
3 Reads

Common Soft Tissue Musculoskeletal Pain Disorders.

Prim Care 2018 Jun;45(2):289-303

Rheumatology Fellowship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Uniformed Services University of the Health Sciences, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.

Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. Read More

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http://dx.doi.org/10.1016/j.pop.2018.02.006DOI Listing
June 2018
17 Reads

Anatomical study of the first dorsal extensor compartment for the treatment of de Quervain's disease.

Ann Anat 2018 Jul 7;218:250-255. Epub 2018 May 7.

Department of Plastic and Reconstructive Surgery, Dongguk University Medical Center, GoYang, South Korea. Electronic address:

Introduction: Anatomical variations of the first dorsal extensor compartment (1st EC) are commonly noted.

Materials And Methods: Forty cadaver hands were dissected to define the 1st EC. Through the gross findings, we classified the contents according to the presence of septation, subcompartment, and variation of tendons. Read More

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http://dx.doi.org/10.1016/j.aanat.2018.04.007DOI Listing
July 2018
8 Reads

Omega "Ω" Pulley Plasty for Surgical Management of DeQuervain's Disease.

J Hand Surg Asian Pac Vol 2018 Jun;23(2):170-175

* Division of Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Lebanon.

Background: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendons adhesions. The authors present an alternative procedure for the first extensor compartment pulley decompression: "Omegaplasty". Read More

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http://dx.doi.org/10.1142/S2424835518500169DOI Listing
June 2018
21 Reads

Soft Tissue Atrophy Related to Corticosteroid Injection: Review of the Literature and Implications for Hand Surgeons.

J Hand Surg Am 2018 Jun 3;43(6):558-563. Epub 2018 Apr 3.

Department of Orthopedic Surgery, VCU Medical Center, West Hospital, Richmond, VA.

Corticosteroid injections (CIs) are frequently used by hand surgeons to treat a wide range of pathology including de Quervain tenosynovitis and lateral epicondylitis. Although generally viewed as a benign modality, and a way to potentially avoid or postpone surgical intervention, common complications from CI should be considered and discussed with patients before the procedure. One such complication is local soft tissue atrophy and hypopigmentation after injection. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.03.004DOI Listing
June 2018
6 Reads

US-guided percutaneous release of the first extensor tendon compartment using a 21-gauge needle in de Quervain's disease: a prospective study of 35 cases.

Eur Radiol 2018 Sep 4;28(9):3977-3985. Epub 2018 Apr 4.

Service d'imagerie, CHU de Toulouse- Purpan, bâtiment Pierre Paul Riquet, Place du Dr Baylac, TSA, 40031-31059, Toulouse cedex 9, France.

Purpose: To evaluate the efficacy of ultrasonography-guided percutaneous treatment of de Quervain tenosynovitis with the combination of a corticosteroid injection and release of the retinaculum of the first extensor compartment tendons with a 21-gauge needle.

Materials And Methods: The first part of our study consisted of ten procedures on cadaver wrists followed by dissection to analyse the effectiveness of the retinaculum release and detect any collateral damage. The second part was a prospective clinical study of 35 procedures. Read More

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http://dx.doi.org/10.1007/s00330-018-5387-1DOI Listing
September 2018
9 Reads

MRI in De Quervain Tenosynovitis: Is Making the Diagnosis Sufficient?

AJR Am J Roentgenol 2018 03;210(3):W133-W134

1 All India Institute of Medical Sciences, New Delhi, India

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http://dx.doi.org/10.2214/AJR.17.19078DOI Listing
March 2018
9 Reads

Reply to "MRI in de Quervain Tenosynovitis: Is Making the Diagnosis Sufficient?"

AJR Am J Roentgenol 2018 03;210(3):W135

3 Northwell Health, Manhasset, NY.

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http://dx.doi.org/10.2214/AJR.17.19153DOI Listing
March 2018
12 Reads

Pulley Reconstruction for Symptomatic Instability of the Tendons of the First Extensor Compartment Following de Quervain's Release.

J Wrist Surg 2018 Feb 7;7(1):31-37. Epub 2017 Jun 7.

Department of Orthopaedics and Traumatology, Upper Limb Unit, Orthoclinic Brugge, AZ Sint-Jan AV Brugge-AZ Sint Lucas, Bruges, Belgium.

 Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of the thumb) is very effective in diagnosing this instability. Read More

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http://dx.doi.org/10.1055/s-0037-1603686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788753PMC
February 2018
15 Reads

Proximal Linear Extension of Skin Hypopigmentation After Ultrasound-Guided Corticosteroid Injection for de Quervain Tenosynovitis: A Case Presentation.

PM R 2018 Aug 28;10(8):873-876. Epub 2018 Mar 28.

Department of Rehabilitation Medicine, University of Washington, 2514 E. Denny Way, Unit B, Seattle, WA 98122; Department of Physiatry, Hospital for Special Surgery, New York, NY.

de Quervain tenosynovitis is a stenosing tenosynovitis of the first dorsal compartment of the wrist that can lead to painful functional impairment of the upper limb. This case presentation describes a rare adverse effect of corticosteroid injection (CSI) involving local skin atrophy and hypopigmentation with proximal linear extension. In this case, hypopigmentation developed from the wrist to beyond the elbow after CSI with ultrasound guidance and targeted placement of the injectate in the extensor tendon sheath of the first dorsal compartment. Read More

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http://dx.doi.org/10.1016/j.pmrj.2018.01.001DOI Listing
August 2018
3 Reads

Ultrasound-guided methotrexate injection for De Quervain disease of the wrist: what lies beyond the horizon?

J Pain Res 2017 26;10:2299-2302. Epub 2017 Sep 26.

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.

De Quervain disease (DQVD) is one of the most common causes of lateral wrist pain and can lead to significant disability. The current case involves a right-handed, middle-aged, female patient with severe lateral wrist pain due to DQVD. Her pain was not responsive to oral non-steroidal anti-inflammatory drugs, rehabilitation, and repeated corticosteroid injections. Read More

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http://dx.doi.org/10.2147/JPR.S143256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5627726PMC
September 2017
13 Reads

Persistent de Quervain tenosynovitis induced by somatotropin treatment.

J Pediatr Endocrinol Metab 2017 Oct;30(11):1223-1226

.

Background: Growth hormone deficiency is a well-known clinical entity that is usually treated with somatotropin (growth hormone). Growth hormone has some frequent side effects such as intracranial hypertension, lymphedema and diabetes mellitus.

Case Presentation: We report the case of a 14-year-old girl with a history of wrist pain and clumsiness. Read More

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http://dx.doi.org/10.1515/jpem-2017-0085DOI Listing
October 2017
37 Reads
0.711 Impact Factor

Shear wave elastography findings of de Quervain tenosynovitis.

Eur J Radiol 2017 Oct 18;95:192-196. Epub 2017 Aug 18.

Department of Physical Medicine and Rehabilitation, Health Sciences University, Istanbul Bakirkoy Dr. Sadi Konuk Hospital, Istanbul, Turkey. Electronic address:

Objective: Our aim was to evaluate the feasibility of using shear wave elastography (SWE) to assess first extensor compartment tendons rigidity and its alterations with tenosynovitis.

Materials And Methods: We performed B-mode ultrasound and SWE to total number of 80 participants. All participants were evaluated clinically to call the diagnosis of de Quervain tenosynovitis or to rule out the diagnosis. Read More

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http://dx.doi.org/10.1016/j.ejrad.2017.08.011DOI Listing
October 2017
11 Reads

A Genetic Marker Associated with De Quervain's Tenosynovitis.

Int J Sports Med 2017 Nov 6;38(12):942-948. Epub 2017 Oct 6.

Department of Medicine, Stanford University, Stanford, United States.

De Quervain's tenosynovitis is a repetitive strain injury involving synovial inflammation of the tendons of the first extensor compartment of the wrist. It is relatively common in the general population, and is the most common radial-sided tendinopathy seen in athletes. Identifying a genetic marker associated with de Quervain's tenosynovitis could provide a useful tool to help identify those individuals with an increased risk for injury. Read More

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http://dx.doi.org/10.1055/s-0043-116669DOI Listing
November 2017
57 Reads

Patient- and Disease-Specific Factors Associated With Operative Management of de Quervain Tendinopathy.

J Hand Surg Am 2017 Nov 7;42(11):931.e1-931.e7. Epub 2017 Sep 7.

Penn Medicine University Center, Philadelphia, PA.

Purpose: It remains unclear which factors, patient- or disease-specific, are associated with electing to undergo operative management for de Quervain tendinopathy. Our null hypothesis was that no patient- or disease-specific factors would be associated with the choice of surgical treatment of de Quervain tendinopathy.

Methods: We performed a retrospective review of consecutive patients diagnosed with de Quervain tendinopathy over 3 years by 1 of 3 fellowship-trained hand surgeons at an urban academic institution. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.07.017DOI Listing
November 2017
26 Reads

Extensor Retinaculum Reconstruction Using the Wide-Awake Approach.

J Hand Surg Am 2017 Oct 1;42(10):844.e1-844.e4. Epub 2017 Sep 1.

Department of Orthopaedic Surgery, National Center for Child Health and Development, Tokyo, Japan.

De Quervain tenosynovitis is often treated by simple release of the first compartment. However, patients can suffer from persistent postoperative problems, including "clumsy" use of the thumb, as a result of redislocation or bowstringing of the extensor pollicis brevis/abductor pollicis longus tendons or irritation of the superficial branch of the radial nerve. Here we describe our method for first compartment reconstruction, in which the flaps are sutured after double-flap incision of the compartment. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.07.024DOI Listing
October 2017
9 Reads

Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review.

Arch Phys Med Rehabil 2018 Aug 30;99(8):1635-1649.e21. Epub 2017 Aug 30.

Department of General Practice, Erasmus MC - University Medical Center Rotterdam, Rotterdam, The Netherlands.

Objectives: To provide an evidence-based overview of the effectiveness of conservative and (post)surgical interventions for trigger finger, Dupuytren disease, and De Quervain disease.

Data Sources: Cochrane Library, Physiotherapy Evidence Database, PubMed, Embase, and CINAHL were searched to identify relevant systematic reviews and randomized controlled trials (RCTs).

Data Selection: Two reviewers independently applied the inclusion criteria to select potential studies. Read More

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http://dx.doi.org/10.1016/j.apmr.2017.07.014DOI Listing
August 2018
39 Reads

A novel classification of the anatomical variations of the first extensor compartment.

Medicine (Baltimore) 2017 Sep;96(35):e7875

aDepartment of Rehabilitation bDepartment of Trauma Surgery cDepartment of Joint Surgery dDepartment of Obstetrics, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

The presence of a septum in the first extensor compartment is closely associated with the pathophysiology of de Quervain disease, and affects the efficacy of corticosteroid injection and surgical release. This study aimed to examine the incidence and length of the first extensor compartment septum.Forty sides of the wrists in 20 cadavers were used. Read More

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http://dx.doi.org/10.1097/MD.0000000000007875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585493PMC
September 2017
9 Reads

Hand Surgery Resources Exceed American Health Literacy.

Hand (N Y) 2018 Sep 20;13(5):547-551. Epub 2017 Aug 20.

1 Indiana University, Indianapolis, USA.

Background: The National Institutes of Health, American Medical Association, and US National Library of Medicine recommend that educational material for patients be written at a sixth-grade reading level. The purpose of this study is to assess the complexity of hand surgery information on academic plastic and orthopedic surgery websites.

Methods: An online search was performed for all hand surgery patient education materials provided by institutions with plastic and orthopedic surgery training programs. Read More

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http://dx.doi.org/10.1177/1558944717725384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109909PMC
September 2018
15 Reads

Surgical Demographics of Carpal Tunnel Syndrome and Cubital Tunnel Syndrome Over 5 Years at a Single Institution.

J Hand Surg Am 2017 Nov 12;42(11):929.e1-929.e8. Epub 2017 Aug 12.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.

Purpose: Carpal tunnel and cubital tunnel syndrome are the 2 most common upper-limb compressive neuropathies. However, whether the characteristics of patient populations undergoing surgery for these conditions are similar is unclear in terms of demographics and concomitant pathologies. Our null hypothesis was that there are no identifiable differences between these patient populations. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.07.009DOI Listing
November 2017
24 Reads

Intersection Syndrome: The Subtle Squeak of an Overused Wrist.

Authors:
Thomas M Skinner

J Am Board Fam Med 2017 Jul-Aug;30(4):547-551

From the US Air Force, 48th Medical Group, Royal Air Force Lakenheath, Suffolk, United Kingdom.

Patient histories that include wrist pain can be pivotal in the distinction between intersection syndrome (IS) and the more common de Quervain's tenosynovitis (DQT). Presented here is a 26-year-old pregnant woman with a history of rowing who developed left radial/dorsal wrist pain and a rubbing/squeaking sensation. Nine months of conservative DQT therapy and a landmark-guided corticosteroid injection failed to relieve her symptoms. Read More

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http://dx.doi.org/10.3122/jabfm.2017.04.170053DOI Listing
February 2018
26 Reads

Sonography of Non-neoplastic Disorders of the Hand and Wrist Tendons.

J Ultrasound Med 2018 Jan 14;37(1):51-68. Epub 2017 Jul 14.

Radiology Institute, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, Italy.

Tendon disorders commonly cause hand and wrist disability and curtail the performance of work-related duties or routine tasks. Imaging is often needed for diagnosis, but it requires knowledge of the complex anatomic structures of the tendons of the hand and wrist as well as familiarity with related disorders. This review article aims to provide medical professionals with guidelines for the sonographic assessment of the tendons of hand and wrist and related disorders. Read More

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http://dx.doi.org/10.1002/jum.14313DOI Listing
January 2018
11 Reads

Effectiveness of Corticosteroid Injections for Treatment of de Quervain's Tenosynovitis.

Hand (N Y) 2017 07 5;12(4):357-361. Epub 2016 Dec 5.

1 University of Rochester, NY, USA.

Background: Although surgery can provide definitive treatment for de Quervain's tenosynovitis, nonoperative treatment could be preferable if symptoms are predictably relieved. We sought to determine the effectiveness of corticosteroid injections as treatment for de Quervain's tenosynovitis and to evaluate patient characteristics as predictors of treatment outcome.

Methods: A retrospective study was conducted using our institutional database International Classification of Disease, version 9 (ICD-9) code list for de Quervain's tenosynovitis. Read More

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http://dx.doi.org/10.1177/1558944716681976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484456PMC
July 2017
10 Reads

Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients.

Int J Biometeorol 2017 Nov 30;61(11):1945-1956. Epub 2017 May 30.

Department of Medical Ecology and Hydroclimatology, İstanbul Faculty of Medicine, İstanbul University, Istanbul, Turkey.

The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty of Medicine, the records of all adult patients with rheumatic and musculoskeletal diseases who were prescribed a spa therapy in various health resorts in Turkey between 2002 and 2012 were analyzed. Patients sojourned to and stayed at a health resort and followed a usual 2-week course of spa therapy. Read More

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http://dx.doi.org/10.1007/s00484-017-1384-3DOI Listing
November 2017
38 Reads

Effects of metabolic syndrome on the functional outcomes of corticosteroid injection for De Quervain tenosynovitis.

J Hand Surg Eur Vol 2017 Jun 1;42(5):481-486. Epub 2017 Feb 1.

3 Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea.

Metabolic syndrome is a constellation of medical conditions that arise from insulin resistance and abnormal adipose deposition and function. In patients with metabolic syndrome and De Quervain tenosynovitis this might affect the outcome of treatment by local corticosteroid injection. A total of 64 consecutive patients with De Quervain tenosynovitis and metabolic syndrome treated with corticosteroid injection were age- and sex-matched with 64 control patients without metabolic syndrome. Read More

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http://dx.doi.org/10.1177/1753193417694112DOI Listing
June 2017
17 Reads

Anatomic study of the first extensor compartment and the relationship between the extensor tendon width and its distal insertion.

Surg Radiol Anat 2017 Nov 8;39(11):1223-1226. Epub 2017 May 8.

Department of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan.

Introduction: The extensor pollicis brevis (EPB) tendon normally inserts into the base of the proximal phalanx of the thumb. However, a distal insertion of the EPB tendon into the thumb interphalangeal joint has been reported in refractory cases of de Quervain's disease. We hypothesized that the EPB tendon is wider beyond the thumb metacarpophalangeal joint in patients with extended EPB. Read More

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http://dx.doi.org/10.1007/s00276-017-1867-2DOI Listing
November 2017
15 Reads

Variations of anatomy on MRI of the first extensor compartment of the wrist and association with DeQuervain tenosynovitis.

Skeletal Radiol 2017 Aug 7;46(8):1047-1056. Epub 2017 Apr 7.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street Yawkey 6E, Boston, MA, 02114, USA.

Objective: To study anatomical variations on MRI of the first extensor compartment of the wrist in DeQuervain tenosynovitis (DQT).

Materials And Methods: A retrospective search for DQT patients yielded 47 subjects (51 ± 15 years, 36 female, 11 male). The age-matched control group (normal first extensor compartment) was 49 ± 15 years (29 female, 18 male). Read More

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http://dx.doi.org/10.1007/s00256-017-2639-0DOI Listing
August 2017
10 Reads

Ultrasound-guided injection for De Quervain's disease: Accuracy and its influenceable anatomical variances in first extensor compartment of fresh cadaver wrists.

J Orthop Sci 2017 Mar 11;22(2):270-274. Epub 2017 Feb 11.

Department of Orthopaedic Surgery, Korea University, College of Medicine, Anam Hospital, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, South Korea. Electronic address:

Background: This study was designed to evaluate the accuracy of ultrasound-guided injection targeting EPB tendon sheath and influenceable anatomical variances to the accuracy in the first extensor compartment of fresh cadaver wrists.

Methods: Thirty wrists of 15 cadavers were used. The wrists were divided into right-sided wrists (control group) and left-sided wrists (group A) to compare the accuracy of the manual injection technique (control group) and ultrasound-guided injection technique (group A) targeting EPB tendon sheath. Read More

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http://dx.doi.org/10.1016/j.jos.2016.11.013DOI Listing
March 2017
17 Reads

Effectiveness of therapeutic ultrasound with or without thumb spica splint in the management of De Quervain's disease.

J Back Musculoskelet Rehabil 2017 ;30(4):691-697

Background: The management of De Quervain's disease is determined more by Intuition than scientific data. The choice of first line conservative option for the management of De Quervain's disease is still a topic of debate.

Aim: To evaluate the effectiveness of therapeutic ultrasound with or without spica splint in the management of De Quervain's disease (DQD). Read More

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http://dx.doi.org/10.3233/BMR-160591DOI Listing
April 2018
55 Reads

Injectable Corticosteroids: Take Precautions and Use Caution.

Semin Musculoskelet Radiol 2016 Nov 21;20(5):401-408. Epub 2016 Dec 21.

Radiology Department, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.

Corticosteroids are routinely injected into soft tissues, tendon sheaths, bursae, and joints. These anti-inflammatory agents have different potency and solubility, and solubility is inversely correlated with the duration of action. Corticosteroids carry a low risk of complications but commonly cause systemic and local adverse effects. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://dx.doi.org/10.1055/s-0036-1594286DOI Listing
November 2016
12 Reads
0.952 Impact Factor

Hand and Wrist Injuries in Golfers and Their Treatment.

Hand Clin 2017 02;33(1):81-96

Comprehensive Hand Center, University of Michigan, North Campus Research Complex, 2800 Plymouth Road, Building 14 G200, Ann Arbor, MI 48109, USA.

A thorough understanding of the swing phases and mechanisms of injury in golf allows accurate diagnosis, treatment, and future prevention of injuries. Recommended initial treatment starts with cessation of practice to rest the wrist, a splint or orthotic brace, and nonsteroidal antiinflammatory drug medication with corticosteroid injection and swing modification. Pisiform excision is the best treatment of the most severe chronic cases of pisiform ligament complex syndrome. Read More

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http://dx.doi.org/10.1016/j.hcl.2016.08.012DOI Listing
February 2017
18 Reads

A comprehensive approach including a new enlargement technique to prevent complications after De Quervain tendinopathy surgery.

Hand Surg Rehabil 2016 06 31;35(3):183-189. Epub 2016 May 31.

CH8, Center for Hand Surgery and Therapy, Charles-Humbert 8, 1205 Geneva, Switzerland. Electronic address:

The goal of this study was to evaluate the outcome of our surgical approach aimed at preventing complications following surgery for De Quervain tendinopathy. Our stepwise surgical procedure is described in detail. We reviewed 56 cases operated by a senior surgeon over 5years, and re-evaluated them with a minimum 15months' follow-up. Read More

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http://dx.doi.org/10.1016/j.hansur.2016.03.002DOI Listing
June 2016
1 Read