Refers to stenosing tenosynovitis of the first dorsal wrist compartment (Abductor pollicis longus [APL] and Extensor pollicis brevis [EPB]).
De Quervain’s disease in most cases is caused by overuse. The condition is typically seen in those activities that use the thumb and wrist a great deal such as washing, wringing wet clothes, screwing and unscrewing etc. Also occurs typically in raquets sports or in golfers. With these activities there is often repetitive ulnar deviation of the wrist while the thumbs are fixed as in strong gripping. The condition is much commoner in women (8 to 1).
In between two separate but interrelated pathological processes there is often seen a mixture of tenosynovitis and tendovaginitis with features of both types. This changing pattern is important because in early stages with tenosynovitis the treatment is conservative whereas in the later stages where there is tendovaginitis the fibrous sheath becomes so thickened and constricted that there is a mechanical problem and surgery is required. Apley describes this situation in his text—‘a small lump is visible on the radial side three-quarters of an inch above the wrist. The lump feels bony hard so that it is frequently mistaken for an exostosis (but the X-ray appearance is always normal)
Download powerpoint presentation of the "De Quervain’s disease"
orthopedic
forearm
knee
anatomy
arthrodesis
hand
Deep Vein Thrombosis
Galeazzi Fractures
Mallet and Jersey Finger
Monteggia Fracture
achondroplasia
arm
biomaterial
biomechanic
clubfoot
compartement syndrome
ddh
developmental dysplasia of the hip
diabetes
dvt
genetic
hip
infection
metabolic disease
phisical examination
replantation
2 komentar:
De Quervain's disease is a lot like carpal tunnel syndrome, in the sense that heightened physical activity is what causes it to take place. Moderation is always the best way to avoid such disorders.
"De Quervain's disease is a lot like carpal tunnel syndrome, in the sense that heightened physical activity is what causes it to take place." You're right, but the mechanics are entirely different. Carpal tunnel syndrome is a lot less likely to turn into a serious condition, as compared to De Quervain's disease.
health insurance australia
Post a Comment