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Review Papers | Health and Medical Sciences | India | Volume 12 Issue 11, November 2023 | Rating: 4.5 / 10
De Quervein's Tenosynovitis - A Systematic Review
Shaista Sumayya
Abstract: De Quervain's Disease (DQD) is a painful condition that affects the tendons that control the movement of the thumb, specifically the abductor pollicis longus and extensor pollicis brevis. Although this condition was discovered many years ago, its exact etiology remains unknown. However, two theories exist, an inflammatory-mediated pathway and the other myxoid degenerative changes. Substantial evidence exists for both theories, thus requiring further studies into the etiology of DQD. Finkelstein's and Eichhoff?s tests have been used for physical examination to clinically diagnose DQD. However, these tests have been shown to have low specificity, hence, the emergence of the wrist hyperflexion and abduction of the thumb test [WHAT]. Ultrasonography may become a critical diagnostic tool to identify anatomical variations, reducing the risk of further complications. The management of DQD is typically conservative, with escalation to steroid injections before surgery is indicated. While current research has suggested possible novel approaches for diagnosing and treating DQD, more studies are required to gain greater insights into the effectiveness of these interventions.
Keywords: Eichhoff test, Finklestein test, wrist hyperflexion and abduction of the thumb test (what), extensor pollicis brevis, abductor pollicis longus, De quervain's disease
Edition: Volume 12 Issue 11, November 2023,
Pages: 826 - 830