The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. You will be told when to start these exercises and which ones will work best for you. Extensor pollicis brevis and abductor pollicis longus are two tendons located on the thumb side of the wrist. Two or sometmes three tendons run through this canal to the thumb. 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. See also overview and evaluation of hand disorders. Middle aged female presents with nontraumatic onset of pain on radial aspect of wrist for last few months. You may have pain when you move your wrist or pick things up. Dequervains tenosynovitis inflammation of the tendons of the thumb. Share in the message dialogue to help others and address.
As an inflammatory condition, icing is critically important. Dequervains tenosynovitis dequervains tenosynovitis. The swelling causes the sheaths casings covering the tendons to become inflamed. A tendon is a strong band of tissue that attaches muscle to bone. Here are some examples of exercises for you to try. Dequervains pronounced dehkervanes tenosynovitis,also known as dequervains tendinitis and dequervains disease,is a. It is a progressive stenosing tenosynovitis whichaffects the tendon sheaths of the 1st dorsalcompartment of the wrist. Its conservative management includes nonsteroidal antiinflammatory drugs, wrist and thumb immobilization, ultrasonic therapy us th.
The result is pain at the base of the thumb and extending into the lower arm. The exercises may be suggested for a condition or for rehabilitation. The muscles and bones of the hand are connected by thick flexible tissue called tendons. Tenosynovitis upper extremity occupational risk factors. 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. Given the presence of stenotic adhesions within the tendon sheath, cross fiber massage work at the distal tendons and their synovial. The swollen tendons and their coverings rub against the narrow tunnel through which they pass.
Lift your thumb away from your palm to make a c shape. This is essentially inflammation and irritation of the extensor tendons of the thumb at the wrist. You may do all of these exercises when the initial pain is gone. The thumb motion is restricted by the swollen tendons. Tendons are covered by a thin soft sheath of tissue known as synovium. It occurs when the 2 tendons around the base of your thumb become swollen. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. Definicion fisiopatologia epidemiologia tratamiento diagnostico clinica.
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