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Showing posts from November, 2022

DE QUERVAINS SYNDROME

 Introduction:  De Quervain's Tenosynovitis is a painful, inflammatory condition caused by tendons on the side of the wrist at the base of the thumb. Pain, which is the main complaint, gets worse with abduction of the thumb, a grasping action of the hand, and an ulnar deviation of the wrist. Thickening and swelling can also be present.   Causes: The most common cause is chronic overuse. Activities  such as golfing, playing the piano, fly fishing, carpentry, or activities by office workers and musicians can lead to chronic overuse injuries. The classic patient population is mothers of newborns who are repeatedly lifting their baby with their thumbs radially abducted and wrists going from ulnar to radial deviation. Repetitive  gripping, grasping or wringing of objects can cause inflammation of the tendons and tendon sheaths which narrows the first dorsal compartment limiting motion of the tendons. If left untreated, the inflammation and progressive narrowing (stenosis) can lead to sc