Tendovahynyt de Quervain – Disease washerwomen
De Quervain’s Tenosynovitis (De Quervain’s Syndrome; De Quervain’s Disease; Washerwoman’s Sprain)
What is de Quervain's tenosynovitis?
De Quervain's tenosynovitis is an inflammation of the tendon sheath (tenosynovyy), which controls the movement of the thumb. Also, the disorder is called constrictive tenosynovitis. Tendons and surrounding shell pass the finger through a small tunnel of bone and fibrous tissue in the wrist. Inflammation tenosynovitis causes pain in the area of the tunnel.
De Quervain's tenosynovitis Treatment includes rest and medications. In rare cases, it may be necessary to surgery.
De Quervain's tenosynovitis Causes
De Quervain's tenosynovitis is a mechanical problem, which is caused by heavy traffic of the thumb and wrist. A direct blow to the tunnel can also cause tenosynovitis de Quervain.
Risk factors for de Quervain's tenosynovitis
De Quervain's tenosynovitis is more common in women. Other factors, which can increase the likelihood of de Quervain tenosynovitis include:
- Crochet and lace;
- Frequent lifts baby;
- Game Bowling.
Symptoms of de Quervain tenosynovitis
Symptoms of de Quervain tenosynovitis may include:
- Pain or tenderness at the base of the thumb;
- Pain with tingling of the thumb;
- Swelling in the area of the thumb side of the wrist;
- The feeling of stiffness or a limited range of motion while moving the thumb;
- Numbness on the side of the thumb, which is about forefinger.
De Quervain's tenosynovitis Diagnosis
The doctor will ask about your symptoms and medical history, and perform a physical examination.
To help diagnose, Finkelstein test is often done. It is necessary to make a fist, Place your thumb inside, and bend your wrist to the side of the little finger. If the procedure causes pain in the wrist in the thumb, this may be a sign of de Quervain's tenosynovitis.
De Quervain's tenosynovitis Treatment
Treatments de Quervain's tenosynovitis include:
Cortisone injections in the de Quervain tenosynovitis
Injections of cortisone into the tendon are often an effective treatment for this disease.
The operation for the treatment of de Quervain's tenosynovitis
When conservative methods can not get rid of the pain in the wrist, an orthopedic surgeon will open a small tunnel in the bone and fibrous tissue and, perhaps, remove some of the tendons. This will increase the range of motion of the tendon.
De Quervain's tenosynovitis Prevention
To reduce the risk of de Quervain's tenosynovitis, We need to minimize repetitive twisting and grasping movements with the hand.
