De-Quervain's Tenosynovitis
De-Quervain's Tenosynovitis
It is a painful condition affecting first compartment of tendons on wrist joint.Commonly female and post partum are affected.
Clinical signs
Localized swelling,
Tenderness along radial aspect of wrist,
Finkelstein's test is positive.
How can we manage this condition ?
Non operative
Splinting
Analgesia
Local Steroid
Operative
Surgical Release if non-operative measures fail.
(under GA/regional anaesthesia and an arm tourniquet)
Release done using transverse or a longitudinal incision.
What are adverse effects of a local steroid injection ?
Infection
Injury - Superficial branch of Radial Nerve
Tendon Rupture
Pitfalls of surgery
failure to recognize anatomical variation (EPB lies on a separate compartment )
Incomplete relief of symptoms
Painful Neuroma- injury to superficial branch of radial nerve.
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