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Encyclopedia > De Quervain's disease
DeQuervain's syndrome
Finkelstein's test for DeQuervain's tenosynovitis
ICD-10 M654
ICD-9 727.04
ICD-O:
OMIM [1]
DiseasesDB [2]
MedlinePlus [3]
eMedicine pmr/36

DeQuervain's syndrome (also known as washerwoman's sprain, Radial styloid tenosynovitis or De Quervain's disease), named for Swiss surgeon Fritz de Quervain who first identified it in 1885, is an inflammation of the sheath or tunnel that surrounds two tendons that control movement of the thumb. The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // M00-M99 - Diseases of the musculoskeletal system and connective tissue (M00-M25) Arthropathies (M00-M03) Infectious arthropathies (M00) Pyogenic arthritis (M01) Direct infections of joint in infectious and parasitic diseases classified elsewhere (M02) Reactive arthropathies (M023) Reiters disease (M03) Postinfective and reactive arthropathies in diseases classified elsewhere (M05-M14... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The International Classification of Diseases for Oncology (ICD-O) is a domain specific extension of the International Statistical Classification of Diseases and Related Health Problems for tumor diseases. ... The Mendelian Inheritance in Man project is a database that catalogues all the known diseases with a genetic component, and - when possible - links them to the relevant genes in the human genome. ... The Diseases Database is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... MedlinePlus (medlineplus. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... General Information A sprain (from the French espraindre - to wring) is an injury which occurs to ligaments caused by a sudden overstretching (for the muscle injury, see strain). ... In anatomy, a styloid process refers to the slender, pointed process (protrusion) of the temporal bone of the skull or the radius and ulna bones of the lower arm. ... Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. ... A typical modern surgical operation For other uses, see Surgery (disambiguation). ... 1885 (MDCCCLXXXV) is a common year starting on Thursday. ... Inflammation is the first response of the immune system to infection or irritation and may be referred to as the innate cascade. ... A tendon (or sinew) is a tough band of fibrous connective tissue that connects muscle to bone. ... The thumbs up gesture is a sign of approval in many cultures, and an obscene gesture in many others. ...


It should not be confused with "De Quervain Thyroiditis" (E061). // E00-E35 - Endocrine diseases (E00-E07) Disorders of thyroid gland (E00) Congenital iodine-deficiency syndrome (E01) Iodine-deficiency-related thyroid disorders and allied conditions (E02) Subclinical iodine-deficiency hypothyroidism (E03) Other hypothyroidism (E030) Congenital hypothyroidism with diffuse goitre (E031) Congenital hypothyroidism without goitre (E032) Hypothyroidism due to medicaments and other...

Contents


Causes

It is caused by the repetitive motion of the thumb constantly being required to move up and down (usually associated with using a computer keyboard or typewriter). It can be included in a loose group of conditions called repetitive strain injuries. A computer keyboard is a peripheral modeled after the typewriter keyboard. ... This Smith Premier typewriter, purchased around the end of the 19th century, was found abandoned in the Bodie ghost town. ... Repetitive strain injury, also called repetitive stress injury or typing injury, is an occupational overuse syndrome affecting muscles, tendons and nerves in the arms and upper back. ...


Symptoms

Symptoms are pain and swelling over the thumb side of the wrist, possibly numbness on the back of the thumb, and difficulty gripping. The term symptom (from the Greek syn = con/plus and pipto = fall, together meaning co-exist) has two similar meanings in the context of physical and mental health: A symptom may loosely be said to be a physical condition which shows that one has a particular illness or disorder (see... Pain is an unpleasant sensation which may be associated with actual or potential tissue damage and which may have physical and emotional components. ... Edema (BE: oedema, formerly known as dropsy) is swelling of any organ or tissue due to accumulation of excess fluid. ...


Finkelstein's test is used to diagnose DeQuervain's syndrome in people who have wrist pain. To perform the test, the thumb is placed in the closed fist and the hand is tilted towards the little finger, as shown in the image. If pain occurs at the wrist below the thumb, DeQuervain's tenosynovitis is likely. Diagnosis (from the Greek words dia = by and gnosis = knowledge) is the process of identifying a disease by its signs, symptoms and results of various diagnostic procedures. ... In human anatomy, the wrist is the flexible and narrower connection between the forearm and the hand. ... Pain is an unpleasant sensation which may be associated with actual or potential tissue damage and which may have physical and emotional components. ...


Treatment

DeQuervain's disease is self-limited and resolves spontaneously in most cases by a year.


Splints may be worn to help prevent the pain associated with the inflammation but they do not change the course of the illness. A splint is a medical device for the immobilization of limbs or of the spine. ...


External links

  • Alexandra Hospital: deQuervain's Syndrome - illustration and text
  • DeQuervain's Syndrome: Medical Imagery - Medical Art and Illustration
  • GPnotebook -1744437193

Treatment can include Physiotherapy, ultrasound, splints and steroid treatment. Severe cases can be treated by surgery. GPnotebook is a British medical database for general practitioners (GPs. ...



 
 

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