{"id":964,"date":"2021-06-16T01:02:37","date_gmt":"2021-06-16T01:02:37","guid":{"rendered":"https:\/\/msapc.managed3.brouser.net\/hand-center\/?page_id=964"},"modified":"2021-12-29T21:49:40","modified_gmt":"2021-12-29T21:49:40","slug":"de-quervain-syndrome","status":"publish","type":"page","link":"https:\/\/msapc.com\/hand-center\/hand-conditions\/de-quervain-syndrome\/","title":{"rendered":"de Quervain Syndrome"},"content":{"rendered":"<h3>Definition<\/h3>\n<p>Inflammation of two tendons (abductor pollicis longus and extensor pollicis brevis) and associated synovial membranes on the thumb side of the wrist (tenosynovitis).<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/Z8Lm6UzZz2w\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Symptoms<\/h3>\n<ul>\n<li>Radial (thumb side) wrist pain that increases with extended activity.<\/li>\n<li>Increased pain with grasping and lifting.<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/b3mZumVowYM\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Pathology<\/h3>\n<ul>\n<li>Shearing (friction) forces create inflammation and thickening of the extensor retinaculum (band shaped ligament that holds the extensor tendons in place on the back of the hand).<\/li>\n<li>The inflammation creates stenosing (narrowing) of the synovial membrane tunnel that the tendons glide through (stenosing tenosynovitis).<\/li>\n<li>Repetitive thumb adduction and ulnar deviation (hammering motion) creates the shearing forces.<\/li>\n<\/ul>\n<h3>Treatment<\/h3>\n<p><strong>Non-surgical<\/strong><\/p>\n<ul>\n<li>Rest, activity modifications, thumb-spica splint\/brace, ice and NSAIDs (ibuprofen)<\/li>\n<li>Corticosteroid injection<\/li>\n<\/ul>\n<p><strong>Surgical<\/strong><\/p>\n<ul>\n<li>de Quervain\u2019s Release\n<ul>\n<li>Indicated when non-operative treatment fails.<\/li>\n<li>The dorsal retinaculum covering the synovial membrane and tendons is incised (released).<\/li>\n<li>See <a href=\"\/hand-center\/patient-resources\/aftercare\/de-quervains-release\/\">Post-op de Quervain\u2019s Release instructions<\/a> for information on surgical recovery.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/eKNhh7yKDCY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Definition Inflammation of two tendons (abductor pollicis longus and extensor pollicis brevis) and associated synovial membranes on the thumb side of the wrist (tenosynovitis). Symptoms Radial (thumb side) wrist pain that increases with extended activity. Increased pain with grasping and lifting. Pathology Shearing (friction) forces create inflammation and thickening of the extensor retinaculum (band shaped&#8230;<\/p>\n","protected":false},"author":1,"featured_media":1111,"parent":64,"menu_order":11,"comment_status":"closed","ping_status":"closed","template":"templates\/conditions.php","meta":{"footnotes":""},"class_list":["post-964","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>de Quervain Syndrome - MSA Hand Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/msapc.com\/hand-center\/hand-conditions\/de-quervain-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"de Quervain Syndrome - MSA Hand Center\" \/>\n<meta property=\"og:description\" content=\"Definition Inflammation of two tendons (abductor pollicis longus and extensor pollicis brevis) and associated synovial membranes on the thumb side of the wrist (tenosynovitis). Symptoms Radial (thumb side) wrist pain that increases with extended activity. Increased pain with grasping and lifting. 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