Definicion fisiopatologia epidemiologia tratamiento diagnostico clinica. The number of people in the uk that officially suffer from tenosynovitis as per the statistics from the health and safety executive are decreasing steadily over the years. Dequervains tenosynovitis dnbid lecture 2012 authorstream presentation. Extensor pollicis brevis and abductor pollicis longus are two tendons located on the thumb side of the wrist. It used to be referred to as washerwomans sprain or mothers wrist but with the advent of technology, is now commonly referred to as blackberry thumb from typing and texting on small handheld devices. Dequervains tenosynovitis dequervains tenosynovitis. Here are some examples of exercises for you to try. Tenosynovitis upper extremity occupational risk factors. It is a progressive stenosing tenosynovitis whichaffects the tendon sheaths of the 1st dorsalcompartment of the wrist.
Both of these are responsible for movement of the thumb. People engaging in overuse type activities, like racket sports, ten pin bowling, rowing and canoeing poor computer ergonomics excessive typing on mobile phones to send text messages. You may have pain when you move your wrist or pick things up. Dequervains tenosynovitis dnbid lecture 2012 authorstream. It usually occurs in middleaged individuals and is around 3x more common in women 80% of cases. Lift your thumb away from your palm to make a c shape. It can develop after a thumb injury, repetitive movements, rheumatoid arthritis and other. Both affections ethiology is directly re lated with hormonal changes occurred during pregnan cy. Dequervains tenosynovitis is inflammation of the sheath the synovium. It can develop after a thumb injury, repetitive movements, rheumatoid arthritis and other inflammatory conditions.
Physiotherapy department dequervains tenosynovitis inflammation of the tendons of the thumb information for patients. The cause of tenosynovitis in many cases the cause is. Dequervains tenosynovitis inflammation of the tendons of the thumb. Multiple modalities of treatment have been proposed and no definitive guidelines have been set yet. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. Patients have a history of repetitive pinching motion of the thumb and fingers eg, assembly line work, driving in screws, weeding.
Typically it affects the extensor pollicis brevis and abductor pollicis longus tendons. The cause of tenosynovitis in many cases the cause is unknown. This puts pressure on nearby nerves, causing pain and numbness. This fibrous tunnel is about 2 cm long, whereas the synovial sheath extends from each musculotendinous junction proximal to the tendon insertions well beyond the tunnel itself. The operation is performed under local or general anaesthetic. With this condition, grasping or twisting can be painful. To report the presentation of complex regional pain syndrome1 crps1 as dequervains stenosing tenosynovitis dqst. The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb.
This surrounds the two tendons that are involved in moving the thumb. This compartment contains the abductor pollicis longus apl and extensor pollicis brevis epb tendons. Tendons cordlike fibers that attach muscle to bone and synovium a. The muscles and bones of the hand are connected by thick flexible tissue called tendons. You will be told when to start these exercises and which ones will work best for you. Onset of pain is typically gradual in nature, with no history of acute trauma. Onset of pain is typically gradual in nature, with no history of. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig.
It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around the base of the thumb become swollen, often causing inflammation to develop. A sheath, or covering, surrounds the tendons that go to your thumb. The swelling causes the sheaths casings covering the tendons to become inflamed. Two or sometmes three tendons run through this canal to the thumb. A tendon is a strong band of tissue that attaches muscle to bone. It occurs when the 2 tendons around the base of your thumb become swollen. Pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendons in the fibroosseus canal. The exercises may be suggested for a condition or for rehabilitation. Place your hand on a flat surface, with your palm up. Most cases are associated with overuse, however, local trauma can also precipitate the condition. If you continue browsing the site, you agree to the use of cookies on this website. It can be brought on by a simple strain injury or repeated stresses of the tendons. Tendons are covered by a thin soft sheath of tissue known as synovium. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a condition that is caused by inflammation of tendons of the thumb at the wrist, characterized by pain and swelling in the thumb and wrist areas.
Tendons control mobility within the extremities and are the tissues that attach muscle to hand and finger bones. Characterised by degeneration and thickening ofthe tendon sheath. These tendons are responsible for moving the thumb sideways and backwards and sometimes become trapped as they pass through a. That pathology is associated mainly to secondary chronic trauma. Pain is typically increased with gripping or rotating the wrist. When considering annual statistics from the past 20 years the annual high came in 19921993 when 910 people were classed as suffering from tenosynovitis of this 910. Pain in the radial aspect of the wrist becomes worse with activity and better with rest. Physiotherapy department dequervains tenosynovitis. The swollen tendons and their coverings rub against the narrow tunnel through which they pass. It is a common problem affecting the wrist and is usually easy to diagnose. Directly before the wrist imagine an extension from the thumb to the forearm exist a tunnel. These tendons are responsible for helping to extend the thumb, and they glide through a protective covering called a tendon sheath. The result is pain at the base of the thumb and extending into the lower arm. These tendons are responsible for moving the thumb sideways and backwards and sometimes become trapped as they pass through a small tunnel between the wrist and the thumb.