1 / 9

De Quervain’s Syndrome

De Quervain’s Syndrome. Miss Meg Birks Consultant Hand Surgeon GP Education event 1 st March 2012. Presentation – symptoms. Radial Sided wrist pain Difficulty with everyday activities Writing/typing Opening bottles/jars Using scissors. Presentation - signs.

rosine
Download Presentation

De Quervain’s Syndrome

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. De Quervain’s Syndrome Miss Meg Birks Consultant Hand Surgeon GP Education event 1st March 2012

  2. Presentation – symptoms • Radial Sided wrist pain • Difficulty with everyday activities • Writing/typing • Opening bottles/jars • Using scissors

  3. Presentation - signs • Swelling and tenderness over the tendons • Finklestein’s test positive

  4. Differential Diagnosis • OA base of thumb • STT joint OA • Scaphoid pathology • Carpal tunnel syndrome

  5. Further Information

  6. Injection technique • Position the wrist on table, thumb side up • Palpate the radial styloid • Approach from distal (hand end) at 45°

  7. Injection technique • Insert needle to bone and then withdraw a few millimetres • Inject – hope to see a “sausage” of fluid form • Reposition needle (same entry point) if strong resistance

  8. Possible complications • Irritation of superficial radial nerve • De pigmentation of skin • Fat atrophy • Failure to improve • Consider confirming the diagnosis with USS

  9. Any Questions?

More Related