Its a painful inflammation of tendons in your wrist and. This can be due to a thickening of the soft tissues that make up the tunnel or an. Repetitive thumb and wrist use are very common nowadays, especially with the advent of smartp. Mar 09, 2012 basic features of stenosing tenosynovitis. Pain also occurs with resisted thumb extension or abduction, and finkelsteins test. If your case is more serious, your doctor may recommend outpatient. The condition develops when the tendons around the base of the thumb become irritated or constricted. This compartment contains the abductor pollicis longus apl and extensor pollicis brevis epb tendons. It can have various causes, including inflammatory processes associated with rheumatic disease, infectious processes, primary tumors of the synovial sheath, hormonal and mechanical factors. Stenosing tenosynovitis is a peculiar entity caused by multiple factors, including local anatomy, mechanical factors, and hormonal factors. The modified eichoff maneuver, commonly called the finkelstein s test.
It is commonly seen in new mothers as the motion of picking up the baby can cause irritation to. This inflammation is often due to tendon overuse e. If you start treatment early, your symptoms should improve within four to six weeks. Feb 24, 2020 pagonis t, ditsios k, toli p, givissis p, christodoulou a. It occurs when the 2 tendons around the base of your. The thumb motion is restricted by the swollen tendons. While it is possible to treat the onset of the condition and its precursors with modification of activity, rest, ice, and some antiinflammatory medications, once it sets in it is necessary for you to seek treatment from a. This page includes the following topics and synonyms.
Swelling of the tendons, and the tendon sheath, can cause pain and tenderness along the thumb side of the wrist. It occurs when the 2 tendons around the base of your thumb become swollen. This puts pressure on nearby nerves, causing pain and numbness. The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb. There is obvious swelling and thickening of the sheath and it becomes very painful to move the thumb. Tenosynovitis knowledge for medical students and physicians. This condition causes pain over the radial styloid process, and the pain can radiate proximally or distally.
Nov 01, 2014 stenosing tenosynovitis repetitive thumb and wrist use are very common nowadays, especially with the advent of smartp. These muscles are located on the dorsal side of the forearm and go to the lateral side of the thumb through a fibrousosseous tunnel. While it is possible to treat the onset of the condition and its precursors with modification of activity, rest, ice, and some antiinflammatory medications, once it sets in it is necessary for you to seek treatment from a medical professional to treat it. Pain also occurs with resisted thumb extension or abduction, and finkelstein s test fig. Dequervains stenosing tenosynovitis is thickening of the sheath that surrounds the thumb tendons, which run between the wrist and the thumb. It results from an inflamed tendon at the base of your thumb. Tenosynovitis is characterized by inflammation involving the synovial sheath of a tendon. The tendons of the hand and wrist are most commonly.
The thumb is doubled across the palm with the four fingers folded over. These tendons include the extensor pollicis brevis epb and the abductor pollicis longus apl. Are steroid injections effective for tenosynovitis of the. There were no control groups in the studies, and none of the studies were randomized. These tendons are responsible for helping to extend the thumb, and they glide through a protective covering called a tendon sheath. Tenosynovitis refers to an inflammatory condition involving the synovial sheath of a tendon. The word tendinosis refers to a swelling of the tendons. The lubricating synovial sheath lining this compartment thickens and swells, giving the enclosed tendons less room to move, and produces extra synovial fluid.
1218 1647 799 374 96 1202 1137 831 9 33 903 863 46 924 1428 838 73 1610 443 1448 1197 1298 38 1404 133 938 588 911 1106 843 392 1416 1271 1023 625