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Plast Reconstr Surg 2020 Jul;146(1):105-126

Montreal, Quebec, Canada From the Faculty of Medicine, McGill University; and the Division of Plastic and Reconstructive Surgery, McGill University Health Center.

Background: Nonsurgical management of de Quervain disease relies mainly on the use of oral nonsteroidal antiinflammatory drug administration, splint therapy, and corticosteroid injections. Although the latter is most effective, with documented success rates of 61 to 83 percent, there exists no clear consensus pertaining to conservative treatment protocols conferring the best outcomes. This article reports on all present conservative treatment modalities in use for the management of de Quervain disease and highlights specific treatment- and patient-related factors associated with the best outcomes. Read More

JAAPA 2020 Jul;33(7):49-50

Lindsey Brown Caruthers is an assistant professor in the PA program at Philadelphia College of Osteopathic Medicine Georgia in Suwanee, Ga., and practices emergency medicine at Emory University Hospital in Decatur, Ga.

Cureus 2020 Apr 16;12(4):e7692. Epub 2020 Apr 16.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Objectives  To assess the clinical and radiological features of repetitive stress injuries (RSIs), specifically de Quervain's (DQ) disease, tennis elbow (TE), and plantar fasciitis (PF). Methods This was an observational study conducted for eight months (March 2019 to September 2019) at the Orthopedic Department in collaboration with the Radiology Department. Clinically diagnosed RSI patients from both genders, aged between 30 and 50 years, were included in the study. Read More

J Hand Surg Asian Pac Vol 2020 Jun;25(2):133-136

Gold Coast University Hospital, Gold Coast, Australia.

De Quervain tenosynovitis (DQT) has been associated with repetitive movements of the radial first dorsal compartment. Since 2007, smartphones have become ingrained in society. Their functionality is primarily performed by dexterity of the user's thumb(s). Read More

Medicine (Baltimore) 2020 Mar;99(10):e19124

Department of Orthopedic Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

Many smartphone users experience pain in the thumb/wrist. This pain can be due to certain types of hand injuries as well as inflammation of the extensor pollicis brevis and the abductor pollicis longus tendon sheaths, known as De Quervain tenosynovitis. The objective of this study was to evaluate the association between smartphone addiction and wrist/thumb pain and to determine the severity of the pain, as well as to calculate the prevalence of De Quervain tenosynovitis among medical students at King Abdulaziz University (KAU) in Jeddah. Read More

Orv Hetil 2020 Mar;161(11):419-424

Egészségtudományi Kar, Alapozó Egészségtudományi Intézet, Morfológiai és Fiziológiai Tanszék, Semmelweis Egyetem Budapest, Vas u. 17., 1088.

De Quervain's tendinopathy affects the region of the wrist and the hand. Thumb motion becomes painful. This illness is caused by a degenerative process rather than inflammation. Read More

Pain Ther 2020 Jun 25;9(1):129-142. Epub 2020 Feb 25.

Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.

Introduction: This compilation presents a comprehensive review of the literature on common chronic pain conditions of the hand. It briefly presents these common conditions with their biological background, diagnosis, and common management options. It then presents and compares the latest literature available for injection techniques to treat these diagnoses and compares the available evidence. Read More

J Ultrasound Med 2020 Feb 11. Epub 2020 Feb 11.

Department of Orthopedic Surgery, Hanyang University Hospital, Seoul, Korea.

Objectives: We performed preoperative ultrasonography (US) to detect the anatomic course of the superficial radial nerve (SRN) and dominant pathologic tendon of the first extensor compartment in de Quervain tenosynovitis.

Methods: We prospectively studied 27 patients (29 wrists) with de Quervain tenosynovitis who underwent surgical release of the first extensor compartment. Preoperatively, US was performed to evaluate the presence of the dominant pathologic tendon and the septum in the subcompartment, number of SRNs in the area of the surgical incision, and anatomic running course of the SRN. Read More

Acta Biomed 2019 12 23;90(4):451-456. Epub 2019 Dec 23.

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Introduction: Trapeziometacarpal (TMC) osteoarthritis is a common disease. Patients with advanced disease who have failed conservative treatment have different surgical options, including total joint prosthesis. The aim of this study was to investigate the long-term outcome and complications of trapeziometacarpal (TMC) total arthroplasty. Read More

J Wrist Surg 2019 Dec 3;8(6):513-519. Epub 2019 Sep 3.

European Hand Ultrasound Surgery Society, Toulouse, France.

 de Quervain's syndrome is one of the main tendonitis of the wrist. The hypothesis of authors was that de Quervain's syndrome could be successfully treated with a specific ultrasound-guided percutaneous procedure, as it is for trigger finger.  Identification of the subcompartmentalization of the first extensor compartment was performed first, using the Hiranuma's classification, prior to the surgery. Read More

Clin Orthop Relat Res 2019 12;477(12):2759-2760

D. Ring, Associate Dean for Comprehensive Care, Professor of Surgery and Psychiatry, Dell Medical School-The University of Texas at Austin, Austin, TX, USA.

Clin Orthop Relat Res 2019 Dec;477(12):2750-2758

J. Blackburn, N. C. Chen, Hand and Arm Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA J. Blackburn, M. J. W. van der Oest, A-M. Vranceanu, J. T. Porsius, Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA M. J. W. van der Oest, R. W. Selles, J. T. Porsius, Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands M. J. W. van der Oest, R. W. Selles, J. T. Porsius, Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, the Netherlands M. J. W. van der Oest, R. Feitz, Hand and Wrist Center, Xpert Clinic, the Netherlands.

Background: Depression, anxiety, and pain catastrophizing have been associated with worse pain and function in studies of patients with de Quervain's tenosynovitis. Illness perceptions are the patient's thoughts and feelings about their illness. More negative perceptions of the illness such as the illness having a long duration or serious consequences are associated with worse physical function in patients with hand osteoarthritis. Read More

J Hand Surg Am 2020 Apr 19;45(4):289-297.e1. Epub 2019 Nov 19.

VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA. Electronic address:

Purpose: The use of routine physical therapy (PT) and occupational therapy (OT) after certain hand procedures, such as carpal tunnel release, remains controversial. The objective of this study was to evaluate baseline use, the change in use, variation in prescribing patterns by region, and costs for PT/OT after common hand procedures.

Methods: Outpatient administrative claims data from patients who underwent procedures for carpal tunnel syndrome, trigger finger, carpometacarpal arthritis, de Quervain tenosynovitis, wrist ganglion cyst, and distal radius fracture were abstracted from the Truven Health MarketScan database from 2007 to 2015. Read More

Medicine (Baltimore) 2019 Nov;98(46):e17765

Department of Acupuncture-Moxibustion, China-Japan Friendship Hospital.

Background: De Quervain disease (dQD) is a painful condition of the wrist that affects patients' quality of life and work ability. Acupotomy has been widely used in the treatment of dQD. It has been reported in many articles that acupotomy can improve the clinical symptoms of dQD. Read More

J Orthop Surg Res 2019 Nov 12;14(1):357. Epub 2019 Nov 12.

Department of Orthopaedic Surgery, Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College, No. 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.

Purpose: To compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain's disease.

Methods: From 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain's disease despite a minimum of 3 months non-operative treatment. Of the 50 patients who met the inclusion criteria, 41 patients were followed-up for a mean of 7. Read More

J Hand Surg Asian Pac Vol 2019 Dec;24(4):389-391

Philippine Orthopedic Center, Quezon, Philippines.

Wide Awake Local Anesthesia No Tourniquet (WALANT) uses a mixture of lidocaine and epinephrine for anesthesia and has found great success in hand surgery. At the Philippine Orthopedic Center (POC), we still use local anesthesia along with a tourniquet which gives the patient pain and discomfort at the tourniquet site. This study aims to determine perioperative and post-operative pain, intraoperative bleeding and immediate clinical outcomes of patients using WALANT for surgical anesthesia for carpal tunnel release. Read More

J Wrist Surg 2019 Oct 9;8(5):380-383. Epub 2019 May 9.

Division of Hand Surgery, Department of Orthopedic Surgery, The Rothman Institute, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

 We prospectively evaluated the surgical anatomy during first dorsal compartment release for De Quervain's tenosynovitis, with special attention to the superficial branch of the radial nerve (SBRN). Additionally, the incidence of tendon instability during surgery was assessed.  This prospective cohort study consisted of 130 De Quervain's patients undergoing first dorsal compartment release. Read More

Niger J Surg 2019 Jul-Dec;25(2):146-152

Department of Surgery, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.

Background: The goal of treatment of de Quervain's disease, pain relief and restoration of hand functions, is achievable with local corticosteroid injection. However, published reports indicate variations in its cure rate and efficacy from and within subregions. This study aimed to determine the outcome of this treatment modality in Nigerian setting. Read More

Hand (N Y) 2019 Sep 20:1558944719873435. Epub 2019 Sep 20.

Minneapolis Veterans Affairs Medical Center, MN, USA.

De Quervain syndrome is the second most common compressive tendinopathy. Although the length of the first extensor compartment (FEC) has been studied previously, there is no documented reported comparison study of short-axis and long-axis sonographic measurements. The thread technique, or Guo Technique, has been applied to carpal tunnel syndrome, trigger finger, and superficial peroneal compressive neuropathy. Read More

Int Orthop 2019 11 28;43(11):2587-2592. Epub 2019 Aug 28.

Department of Orthopaedic Surgery, The Orthopedics Hospital of Xingtai City, NO.202 Bayi Street, Xingtai, Hebei, People's Republic of China.

Objective: To assess the relationship between the incidence of de Quervain's disease (DD) and mobile gaming.

Methods: We conducted an experimental cross-sectional study and surveyed specialized students with different majors from Xingtai Technician Institute. We applied the stratified clustered sampling method to recruit 500 students aged 16 to 20 years as survey respondents. Read More

Diagn Cytopathol 2019 Dec 31;47(12):1251-1258. Epub 2019 Jul 31.

Department of Pathology, Acibadem University, Medical Faculty, Istanbul, Turkey.

Background: The aims of the study are to identify the diagnostic cytological features of subacute granulomatous thyroiditis (SGT), to compare our results with previous literature studies, and to investigate the cytological changes in SGT that mimic other thyroid lesions.

Methods: This retrospective study was conducted with 69 cases. The cytology slides were re-evaluated. Read More

Plast Reconstr Surg 2019 08;144(2):389-393

Houston, Texas From the Department of Orthopaedic Surgery, Houston Methodist Hospital; and the Department of Surgery, the Division of Plastic Surgery, the Department of Medicine, the Section of Health Services Research, and the Department of Orthopedic Surgery, Baylor College of Medicine.

Background: The authors conducted this study to determine whether septation of the first dorsal compartment is more prevalent in de Quervain tenosynovitis, and whether this contributes to failure of corticosteroid injection therapy.

Methods: A retrospective review of 79 consecutive patients (85 wrists) with symptomatic de Quervain tenosynovitis treated with surgical release was performed. The number of corticosteroid injections performed preoperatively and the presence of first dorsal compartment septation determined intraoperatively were recorded. Read More

Ann Plast Surg 2019 08;83(2):242

Zhongguo Gu Shang 2019 May;32(5):479-484

Department of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing 100029, China;

Stenosing tenosynovitis of styloid process of radius(de Quervain's disease) which abductor pollicis longus and extensor pollicis brevis in the first extensor chamber are affected by resistance when sliding, the incidence is affected by anatomical variations. Symptoms, signs and auxiliary examinations can diagnose the disease. Slight dQS can be improved by rest, brace, restriction activities, and oral medications. Read More

J Family Med Prim Care 2019 May;8(5):1784-1785

Division of Infectious Diseases, Kobe University Hospital, Kusunokicho 7-5-2, Chuoku, Kobe, Hyogo.

Repetitive manipulation of thumbs and fingers too much can cause de Quervain tenosynovitis. Some smartphones are becoming larger than their predecessors, with larger display, which might lead to more occurrence of tenosynovitis. A Japanese man in his 40s developed de Quervain tenosynovitis after buying a smartphone (iPhone X) while using his thumb to handle it. Read More

Lakartidningen 2019 May 15;116. Epub 2019 May 15.

Goteborgs universitet Institutionen for kliniska vetenskaper - Goteborg, Sweden Goteborgs universitet Institutionen for kliniska vetenskaper - Goteborg, Sweden.

Clin Plast Surg 2019 Jul 12;46(3):317-327. Epub 2019 Apr 12.

Division of Upper Extremity Surgery, Department of Orthopaedic Surgery, Emory University, 59 Executive Park South, Atlanta, GA 30329, USA.

Tendinopathy and tendinitis are some of the most frequently encountered disorders in hand and upper extremity surgery. Patients often present with progressively increasing pain over a subacute or chronic period. In most cases it is a clinical diagnosis, with confirmation via advanced imaging. Read More

Ann Plast Surg 2019 06;82(6):628-635

Department of Orthopedic Surgery, College of Medicine, and.

We aimed to determine whether dorsoulnar incision elevating radial flap and immobilization for the treatment of de Quervain disease have an advantage over simple midline incision and early mobilization, respectively, in terms of tendon subluxation and clinical outcomes. Forty-six patients with de Quervain disease were randomly divided into 2 groups (midline incision vs dorsoulnar incision) and 2 subgroups (immobilization vs early mobilization). Subluxation of intracompartmental tendons was measured in dynamic wrist positions at 12 and 24 weeks using ultrasonography. Read More

J Wrist Surg 2019 Apr 29;8(2):90-92. Epub 2019 Jan 29.

Department of Surgery, Uniformed Services University, Bethesda, Maryland.

De Quervain's Tenosynovitis (DQT) is a common condition characterized by pain about the dorsal-radial aspect of the wrist, just proximal to the radial styloid. The condition is precipitated by a thickened first dorsal compartment and its tendons. The impression that DQT is caused from work-related injury is misdirected, as no study has established an association between hand usage at work or trauma with DQT. Read More

Skeletal Radiol 2019 Nov 19;48(11):1715-1721. Epub 2019 Mar 19.

La Trobe Sport and Exercise Medicine Research Centre; College of Science, Health and Engineering, La Trobe University, Bundoora, Australia.

Objectives: To collate and synthesise the literature to provide estimates of the diagnostic accuracy of imaging modalities, and summarise the reported imaging findings associated with de Quervain's syndrome.

Materials And Methods: A systematic search was performed in seven databases (MEDLINE, EMBASE, CINAHL, Cochrane Library, PROSPERO, Web of Science, and ProQuest Dissertations & Theses Global). Two reviewers independently performed screening, data extraction and quality assessment using a modified Quality Assessment of Diagnostic Accuracy Studies-2. Read More

Rev Esp Cir Ortop Traumatol 2019 Jul - Aug;63(4):307-312. Epub 2019 Feb 19.

Unidad de Mano, Hospital Asepeyo de Sant Cugat, Sant Cugat del Vallès, Barcelona, España.

Introduction: Trigger finger (TF) is a frequent pathology depending on several factors. The objective of this study was to assess the relationship between multiple TF and systemic or musculoskeletal disorders in a sample of young patients.

Material And Method: A retrospective study was performed of all patients with TF operated in our hospital between 2011 and 2015. Read More

J Hand Surg Eur Vol 2019 May 22;44(4):390-393. Epub 2019 Jan 22.

Orthopedic Surgery, School of Medicine, Kyung Hee University, Seoul Korea.

We compared two surgical procedures for de Quervain's disease that was not responsive to conservative treatment. Group A (simple release) consisted of 38 patients and group B (Z-plasty of the retinaculum) included 36 patients. The visual analogue scale score and the Disabilities of the Arm, Shoulder and Hand Score improved significantly after surgery; there were no statistical differences in outcome between the two groups. Read More

PM R 2019 06 7;11(6):665-668. Epub 2019 Mar 7.

Non-surgical Sports Medicine Division, Andrews Sports Medicine and Orthopedic Center, Andrews Sports Medicine Institute, Birmingham, AL.

De Quervain tenosynovitis is an overuse syndrome associated with inflammation of the tendons in the first dorsal compartment of the wrist. Management includes activity modification, splinting, and corticosteroid injections. In refractory cases, surgical release may be performed, which may be complicated by incomplete release, tendon subluxation, or radial nerve injury. Read More

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

Musculoskelet Surg 2019 Dec 1;103(3):269-273. 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

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

Ann Plast Surg 2019 01;82(1S Suppl 1):S6-S12

Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist. Histopathological studies have reported that the thickening of the first dorsal retinaculum is characterized by degeneration rather than inflammation. However, significant infiltration of mast cells and macrophages was noted in a torn tendon study, which suggested that innate immune pathways are part of the mechanism that mediates early tendinopathy. Read More

Hand (N Y) 2019 09 27;14(5):701-702. Epub 2018 Nov 27.

McGill University Health Center, Montreal, Quebec, Canada.

Hand (N Y) 2020 May 15;15(3):348-352. Epub 2018 Nov 15.

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

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

J Hand Surg Eur Vol 2019 May 14;44(4):385-389. Epub 2018 Nov 14.

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

We investigated the influence of pain sensitization on the prognosis of de Quervain's tenovaginosis after a local corticosteroid injection. One hundred and fifteen patients with de Quervain's tenovaginosis who were treated with corticosteroid injection were recruited. We initially measured pain sensitization by assessing the patients' pressure pain thresholds in the mid-dorsal forearm and by administering a Pain Sensitivity Questionnaire. Read More

Acta Orthop Traumatol Turc 2019 Jan 5;53(1):40-44. 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

Int J Dermatol 2019 Jan 27;58(1):e12-e14. Epub 2018 Oct 27.

Department of Plastic Surgery, Dankook University Hospital, Cheonan, Korea.

Am Fam Physician 2018 11;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

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

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

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

Am Fam Physician 2018 06;97(12):Online

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

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

Clin Orthop Relat Res 2018 11;476(11):2219-2228

Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Background: Studies on how psychologic factors influence the placebo effect have shown conflicting results in an experimental setting. Pessimists are more likely to experience a nocebo effect (feel worse after an inert intervention), whereas other studies suggest that patients with more symptoms of depression or anxiety or greater neuroticism have a greater response to a placebo. This is important because treatment benefits are potentiated by placebo effects, and optimal utilization of this phenomenon may improve clinical outcomes. Read More

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