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DE QUERVAIN'S TENOSYNOVITIS

DQ, MOMMY THUMB, DE QUERVAIN'S DISEASE, RADIAL STYLOID TENOSYNOVITIS

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DE QUERVAIN'S TENOSYNOVITIS

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  1. DE QUERVAIN’S TENOSYNOVITIS • DE QUERVAIN’S DISEASE • DQ • RADIAL STYLOID TENOSYNOVITIS • MOMMY THUMB • ICD 10 – M 65.4 • INFLAMMATION OF THE SYNOVIUM OF THE ABDUCTOR POLLICIS LONGUS (APL) & EXTENSOR POLLICIS BRAVIS (EPB) TENDONS AS THEY PASS THROUGH THE WRIST.

  2. SYMPTOMS

  3. CAUSES

  4. RISK FACTORS

  5. PATHOLOGY

  6. EXAMINATION (FINKELSTEIN TEST) • GENERALLY NO OTHER INVESTIGATION IS NEEDED FOR DIAGNOSIS.

  7. CONSERVATIVE TREATMENT

  8. CONSERVATIVE TREATMENT • IN PREGNANCY, SYMPTOMS ARE LIKELY TO SUBSIDE AROUND THE END OF PREGNANCY / BREAST FEEDING.

  9. CONSERVATIVE TREATMENT LOCAL STEROID INJECTION • OPD PROCEDURE • BLIND / USG GUIDED • INJ. KANACORT + INJ XYLOCAINE • SIDE EFFECTS • NUMBNESS OVER DORSUM OF THUMB. • SWELLING • DISCOLOURATION AT THE INJECTION SITE. MAY CAUSE NUMBNESS MASSAGE TO BE DONE DISCOLOURATION LOCALISED SWELLING

  10. SURGICAL TREATMENT • OPD PROCEDURE • LOCAL ANAESTHESIA • LITTLE / NO SCAR • EARLY RETURN TO WORK

  11. DISCLAIMER

  12. CONTACT

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