De Quervain's Tenosynovitis

Key points

• De Quervain's tenosynovitis is a common condition in which the sheath containing the extensor pollicis brevis and abductor pollicis longus tendons is inflamed. It typically affects females aged 30 - 50 years old Features
• pain on the radial side of the wrist
• tenderness over the radial styloid process
• abduction of the thumb against resistance is painful
• Finkelstein's test: with the thumb is flexed across the palm of the hand, pain is reproduced by movement of the wrist into flexion and ulnar deviation Management