Journals on Cancer Medicine - BJSTR Journal

Abstract

#De Quervain tenosynovitis is a chronic, debilitating condition that is more common in females. Multiple modalities of treatment have been proposed and no definitive guidelines have been set yet. In this paper, we present the different treatment options for this condition. Non-surgical treatment consists mainly of #anti-inflammatories, steroids and splinting. Surgically, different techniques have been described but with limited success. However, the authors of this paper have introduced a new technique the "fi” Omegaplasty that is very promising in treating this chronic condition. All the extensor muscles of the forearm have a common origin known as the #lateral epicondyle of the Humerus. In order to extend the wrist or the thumb, the dorsal (extensor) muscles of the forearm must contract. At the level of the wrist, the tendons of these muscles will separate into six different compartments. Each one of these compartments will be encased in a fibro-osseous sheath [1]. De #Quervain tenosynovitis is a rheumatological condition caused by the entrapment of the first dorsal compartment of the wrist. This first compartment includes the tendon of both the Abductor Pollicis Longus (APL) and #Extensor Pollicis Brevis (EPB) [1]. It was first described in 1895 by Fritz de Quervain as a "stenosing fibrous tendovaginitis” which is a non-inflammatory thickening of the tendons [1]. It is a common cause of wrist pain in adults and can become debilitating. Patients will usually complain of tenderness at the radial side of the wrist that is referred to the thumb or the lateral forearm [2].

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The De-Quervain Tenosynovitis: Literature Review by Bakhach J in BJSTR