Tendons cordlike fibers that attach muscle to bone and synovium a. Many new parents suffer from chronic wrist pain caused by the awkward hand positions required to hold and care for an infant. This puts pressure on nearby nerves, causing pain and numbness. This surrounds the two tendons that are involved in moving the thumb. Citations may include links to fulltext content from pubmed central and publisher web sites. Physiotherapy department dequervains tenosynovitis inflammation of the tendons of the thumb information for patients. When these tendons become swollen, they begin to rub in the tight tunnel that they pass through connecting your hand to the upper part of your arm. This illness is caused by a degenerative process rather than inflammation. Dequervains syndrome what is it and how can you treat it. It used to be referred to as washerwomans sprain or mothers wrist but with the advent of technology, is now commonly referred to as blackberry thumb from typing and texting on small handheld devices. Definicion fisiopatologia epidemiologia tratamiento diagnostico clinica.
Your wrist and thumb will be supported by a forearmbased splint that extends to your thumb a thumbspica splint. This makes it very painful to grab items, make a fist, or turn the wrist all very common. Muenchener medizinische wochenschrift 1912, 59, 56. These tendons, called the abductor pollicis longus and the extensor pollicis brevis, go through a snug tunnel at the wrist, called the first dorsal extensor compartment. Dequervains tenosynovitis is inflammation of the sheath the synovium. Symptoms may include pain or tenderness when moving the thumb, turning the wrist, grasping something, or making a fist. Evaluation of histopathological specimens shows a thickening and myxoid degeneration consistent with a chronic degenerative process, as opposed to inflammation. Dequervains tenosynovitis inflammation of the tendons of the thumb.
An external file that holds a picture, illustration, etc. Dequervains syndrome is the irritation of the two tendons that insert at the base of the thumb as they pass through the extensor sheath. Pubmed comprises more than 26 million citations for biomedical literature from medline, life science journals, and online books. Dequervains tenosynovitis is caused by the inflammation of the tendons that straighten or bring the thumb away from the hand. The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb. Citations may include links to fulltext content from pubmed central and. The consequence is the reduction or elimination of your pain. It is most common among women between the ages of 30 and 50 years of age, including a small subset of women in the postpartum period.
It occurs when the 2 tendons around the base of your thumb become swollen. You can see them on the back of your hand when you. Keeping the wrist and thumb immobile to allow the inflammation to heal is the. Postoperative instructions for dequervains tendonosis release. The thumb plays a major role in hand function and it is therefore subject to an over use phenomenon. It is most common among women between the ages of 30 and 50 years of age, including a small subset of women in the postpartum.
Causes include repetitive pinching or gripping combined with tilting of the. A sheath, or covering, surrounds the tendons that go to your thumb. There are two main tendons connect muscle to bone that pass through a narrow tunnel on the side of the wrist near the base of the thumb. If you play too long, you might have gamers thumb, too.
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. Although the exact mechanism has not been determined. The two tendons concerned are those of the extensor pollicis brevis and. Taking overthecounter antiinflammatory medication like ibuprofen can also help keep symptoms under control. If these tendons become inflamed or thickened, pain can develop when the thumb or wrist is used. The extensor pollicis brevis and abductor pollicis. Keeping the wrist and thumb immobile to allow the inflammation to heal is the first step. Symptoms may include pain or tenderness when moving the thumb. The extensor pollicis brevis and abductor pollicis longus muscles are responsible for lifting the thumb up and away from the palm.
These two tendons are on the back of your hand, running down the back of your thumb and down the side of your wrist. Erickson, md explains the phenomenon called mommys wrist. A tendon is a strong band of tissue that attaches muscle to bone. The condition develops when the tendons around the base of the thumb become irritated or. What links here related changes upload file special pages permanent. Dequervains tenosynovitis dequervains tenosynovitis. If you continue browsing the site, you agree to the use of cookies on this website.
It commonly manifests in parents of newborns because of repetitive lifting with wrists in radial deviation. Apr 30, 2015 dequervains syndrome is the irritation of the two tendons that insert at the base of the thumb as they pass through the extensor sheath. Postoperative instructions for dequervain s tendonosis release purpose of surgery the goal of the operation is to decompress the first set of extensor tendons in your thumb that are under too much friction within its anatomic tunnel at the level of your wrist. Physiotherapy department dequervains tenosynovitis. Is splinting more clinically effective and cost effective. Tendons are tissues that attach our muscles to our bones. There are two main tendons connect muscle to bone that pass through a narrow tunnel. The swelling causes the sheaths casings covering the tendons to become inflamed. This article is within the scope of wikiproject occupational safety and health, a collaborative effort to improve the coverage of articles related to occupational safety and health on wikipedia. Tendons are the ropes that the muscle uses to pull the bone. On the nature and treatment of stenosing tendovaginitis on the styloid process of the radius. The condition develops when the tendons around the base of the thumb become irritated or constricted.
1253 1487 1553 1450 128 25 1132 373 20 487 99 1278 1405 1138 709 1175 1635 1203 146 1327 1146 868 400 605 5 471 1270 766 529 355 580 790 1098 1467