De Quervain Syndrome

Abstract

De Quervain disease are stenosing tenosynovitis of the first dorsal compartment of the wrist is a common wrist pathology. Pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendons in the fibro osseus canal De Quervain tenosynovitis of the wrist is more common in women than men. Diagnosis may be made on physical examination. Radiographs are extremely helpful in ruling out offending bony pathology. Non-surgical management consisting of corticosteroid injections and supported thumb spica splinting is usually successful in resistant cases. Surgical release of the first dorsal compartment is done, taking care to protect the radial sensory nerve and accessory compartment.