852 results match your criteria: "De Quervain Tenosynovitis"

De Quervain's tenosynovitis is characterized by swelling of muscles (abductor pollicis longus (APL) and extensor pollicis (EPB) brevis), and they are located at the base of the thumb. This is a very irritating and painful condition. In many cases, late detection causes an increase in inflammation, and due to prolonged ignorance and neglect, the patient suffers from pain and discomfort that affects and restricts their daily routine work.

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De Quervain's tendinitis after trapeziometacarpal arthroplasty.

Hand Surg Rehabil

September 2024

Polyclinique des 3 Vallées, 4 Route de Saint Pons, 34600 Bédarieux, France. Electronic address:

Objectives: De Quervain's tendinitis is frequently observed after placement of a trapeziometacarpal prosthesis. The aim of this study was to investigate the relationship between De Quervain's tendinitis, osteoarthritis of the thumb and placement of a trapeziometacarpal prosthesis. The second aim was a critical analysis of the literature in search of a cause for this postoperative event after arthroplasty or trapeziectomy.

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Purpose: Patient preferences and expectations following both nonsurgical and operative treatment of de Quervain's tenosynovitis are unclear. In this study, we aim to better delineate patient preferences for initial management of de Quervain's tenosynovitis. For patients considering surgical treatment, we hope to identify which factors of surgical care are most important for patients to receive counseling.

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Anatomic location of the first dorsal extensor compartment for surgical De-Quervain's tenosynovitis release: A cadaveric study.

World J Orthop

April 2024

Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, PA 15212, United States.

Background: De-Quervain's tenosynovitis is a disorder arising from the compression and irritation of the first dorsal extensor compartment of the wrist. Patients who fail conservative treatment modalities are candidates for surgical release. However, risks with surgery include damage to the superficial radial nerve and an incomplete release due to inadequate dissection.

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Purpose: Anabolic steroid therapy has been associated with tendon injury, but there is a paucity of evidence associating physiologic testosterone replacement therapy (TRT) with tenosynovitis of the hand, specifically trigger finger and de Quervain tenosynovitis. The purpose of this study was to evaluate the relationship between TRT and tenosynovitis of the hand.

Methods: This was a one-to-one exact matched retrospective cohort study using a large nationwide claims database.

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Knowledge of the superficial radial nerve (SRN) relationship and anatomic variations of the first extensor compartment (1st EC) will contribute to a better outcome of de Quervain tenosynovitis treatment. We dissected 87 embalmed cadaveric wrists to determine the relationship of the SRN, the 1st EC length, distance from the proximal and distal 1st EC borders to radial styloid process (RSP), abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendon slip numbers, and the presence of septum. Our results revealed SRN crossing over the 1st EC in 59.

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Background: De Quervain's tenosynovitis is upper-limb disorder, more frequent in women. It is rarely recognized as an occupational disease.

Objective: In this paper we reported work related de Quervain's tenosynovitis in cow milker.

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Can Patients Rely on ChatGPT to Answer Hand Pathology-Related Medical Questions?

Hand (N Y)

April 2024

Division of Hand Surgery, Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.

Article Synopsis
  • This study explores the accuracy and completeness of ChatGPT in answering common questions about upper limb orthopedic conditions that patients may ask.
  • Physicians graded ChatGPT's responses to 5 specific hand conditions, scoring its accuracy at an average of 4.83 out of 6 and completeness at 2 out of 3.
  • The findings suggest that while ChatGPT provides mostly accurate information, it often lacks completeness, and patients should be cautious about solely relying on AI for medical advice.
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Introduction: Corticosteroid injection effectively treats de Quervain disease, and due to the high prevalence of the intracompartmental septum in the first extensor compartment, ultrasound guidance improves injection accuracy.

Objective: To compare the effectiveness, adverse events, and the recurrence rate between ultrasound-guided and palpation-guided injection in patients with de Quervain disease.

Design: Prospective, single-blind, randomized controlled trial.

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Corticosteroid injection versus immobilisation for the treatment of De Quervain's tenosynovitis: A systematic review and meta-analysis.

Hand Surg Rehabil

June 2024

Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, 3199, Australia; Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, Victoria, 3004, Australia.

Objective: De Quervain's tenosynovitis causes pain and impairment of thumb function. Conservative treatments comprise corticosteroid injection and immobilization, and it is unclear which offers greater efficacy. Previous reviews were limited by the small number of included studies; thus an updated review and meta-analysis is warranted.

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De Quervain tendinitis after total trapeziometacarpal joint arthroplasty: Biomechanical evaluation of tendon excursion in the first extensor tendon compartment.

Hand Surg Rehabil

June 2024

Department of Orthopedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Synaps Park 1, 3600 Genk, Belgium; Hasselt University, Faculty of Rehabilitation Sciences, Agoralaan 5, 3590 Diepenbeek, Belgium. Electronic address:

De Quervain's tenosynovitis is the most common complication after total trapeziometacarpal joint replacement. Etiology is unclear. Implantation of a ball-in-socket implant changes the biomechanics of the normal trapeziometacarpal saddle joint and increases its range of motion.

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Article Synopsis
  • - Aesthetics is a rapidly growing field where more providers are performing injections, leading to an increase in cases of De Quervain's tenosynovitis (DQT), a hand condition caused by repetitive thumb motion that results in pain and difficulty with daily tasks.
  • - The article aims to raise awareness about DQT among aesthetic injectors and provides a home exercise program to strengthen and condition their hands as a preventative measure.
  • - A literature search revealed a link between the growing demand for injectors and the likelihood of developing DQT, highlighting the importance of proper ergonomics and exercise to alleviate pain, though the lack of case studies limits the findings.
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Purpose: Superb microvascular imaging (SMI) and Shear wave elastography (SWE) are newly developed ultrasonographic diagnostic tools used to support the diagnosis of De Quervain tenosynovitis (DQT). The aim of this study was to examine the capacity to differentiate between the wrist with DQT and the healthy wrist, as well as the potential for predicting the disease's severity using B-mode ultrasonography, SWE, and SMI.

Methods: A total of 19 cases with unilateral clinical DQT were included in the prospective study.

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Background: In 2021, the United States enacted a law requiring hospitals to report prices for health care services. Across several health care services, poor compliance and wide variation in pricing was found. This study was performed to investigate variation in reporting and listed prices by hospital features for high-volume hand procedures, including carpal tunnel release, trigger finger release, de Quervain tenosynovitis release, and carpometacarpal arthroplasty.

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Splinting is a conventional treatment for de Quervain's tenosynovitis (dQt). However, existing splints have problems such as excessive thermal discomfort and poor fit, which have been pointed out in previous studies. This study proposes a new functional splint consisting of both hard and soft materials with the aim of providing wear comfort with a good fit and sufficient stability of the injured hand.

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Cutaneous nerve distribution around first extensor compartment of the wrist: Clinical implications for ultrasound-guided injections.

JPRAS Open

March 2024

Department of Oral Anatomy and Developmental Biology, College of Dentistry, Kyung Hee University, Seoul, 02447, Republic of Korea.

Purpose: To evaluate the course of the cutaneous nerve regarding the first extensor compartment to determine whether the dorsal or volar approach is safer for local injection into the first extensor compartment guided by ultrasound.

Methods: We dissected the radial side of the wrists from 28 cadavers (52 wrists). Four-points along the imaginary line were set: the styloid process and 1 cm, 2 cm, and 3 cm proximal to the styloid process.

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Article Synopsis
  • Endoscopy-related musculoskeletal injuries (ERIs) are prevalent among gastroenterologists and surgeons, with significant issues such as carpal tunnel syndrome and pain syndromes reported.
  • A systematic review of 12 studies found that 5.3% of respondents experienced carpal tunnel syndrome, while 8.5% reported de Quervain's tenosynovitis, alongside notable rates of thumb, neck, and back pain.
  • Despite a high incidence of these injuries, only a small number of professionals have received training in ergonomics, with many expressing a desire for more education on the topic.
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Background: Anatomical variations in first extensor compartment play a role in the development of de Quervain's disease. This study delves into the detailed examination of these anatomical variations.

Methods: 50 upper limbs (28 male and 22 female) from 25 for-malin-embalmed adult human cadavers were dissected to investigate variations in tendons of first extensor compartment.

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Article Synopsis
  • - The study investigates why de Quervain's disease, a form of stenosing tenosynovitis occurring at the wrist, happens more in the dorsal part of the first extensor compartment compared to the palmar part, focusing on anatomical differences.
  • - Researchers analyzed 35 wrists from 23 cadavers, finding that the palmar septum was thicker and more connected to surrounding muscles than the dorsal septum, which is more fragile.
  • - The findings suggest that the robust structure of the palmar septum may contribute to fewer symptoms of de Quervain's disease, which could enhance the understanding and treatment of this condition.
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Objective: To develop an approach for identifying, investigating, and initially managing common causes of chronic wrist pain seen by primary care practitioners.

Sources Of Information: Relevant clinical evidence and literature were identified using the PubMed database.

Main Message: Chronic wrist pain is a common presentation in the primary care setting.

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Background: De Quervain's tenosynovitis is a relatively common, painful condition. Although commonly managed nonoperatively, some patients have recalcitrant disease, necessitating surgical release. Traditional surgical release for de Quervain's tenosynovitis with simple retinacular release can leave patients susceptible to first dorsal extensor compartment tendon subluxation.

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Purpose: The internet is a common resource for patients seeking health information. Trends in internet search interests for common hand surgery diagnoses and their seasonal variations have not been previously studied. The objectives of this study were (1) to describe the temporal trends in internet search interest for common hand surgery diagnoses in the recent five-year time period and (2) to assess seasonal variations in search term interest.

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