Tenosynovitis (de Quervain)

In de Quervain's disease, the sheath containing the extensor pollicis brevis and abductor pollicis longus tendons becomes thickened and inflamed.

• De Quervain's tenosynovitis is a stenosing tenosynovitis of the first extensor compartment of the wrist and leads to pain on the radial (thumb) side of the wrist and impaired function of the wrist and hand:
  • condition is colloquially termed 'washerwoman's thumb' due to the high incidence seen in women who wash clothes by the traditional hand method
  • occurs commonly in women and usually affects 30-50-year-olds
  • occurs as the tendon sheath containing the extensor pollicis brevis and abductor pollicis longus becomes thickened and inflamed
  • patient presents with pain, tenderness and swelling over the radial side of the wrist and difficulty gripping

References:

1. Blood TD, Morrell NT, Weiss AP. Tenosynovitis of the hand and wrist: a critical analysis review. JBJS Rev. 2016 Mar 29;4(3)
2. Arthritis Research UK (April 2013). The upper limb in primary care. Part 2: Wrist, hand. Hands On 2(7).