de Quervain's tenosynovitis: a review of the rehabilitative options

Hand : Official Journal of the American Association for Hand Surgery
Ritu Goel, Joshua M Abzug

Abstract

de Quervain's tenosynovitis is an overuse disease that involves a thickening of the extensor retinaculum, which covers the first dorsal compartment. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. A 34-year-old right hand-dominant female who works in a daycare facility presents with radial side wrist pain during lifting activity for the past 4-6 weeks. The patient was diagnosed with de Quervain's tenosynovitis and conservative care was initiated. Conservative care involved anti-inflammatory medication and corticosteroid injections as well as occupational therapy to include splinting, activity modification, modalities, manual treatment, and therapeutic exercise. Although conservative care assisted the patient with her symptoms initially, she returned with increased pain and discomfort after 2 months time. At that point, surgery was discussed and performed to release the first dorsal compartment as well as the sub-compartment. The patient was provided with a splint postoperatively and initiated occupational therapy for edema and scar management, therapeutic exercise, and desensitization. Ultimately, the patient was able to...Continue Reading

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Citations

Aug 3, 2017·BMJ Case Reports·Dustin Adam GreenhillHesham Abdelfattah
Mar 19, 2019·Hand : Official Journal of the American Association for Hand Surgery·Ajith Malige, Kristofer S Matullo
Sep 22, 2019·Hand : Official Journal of the American Association for Hand Surgery·Logan McCoolAlexander Senk
Feb 27, 2016·Journal of Surgical Oncology·Maurice Y Nahabedian, Ketan Patel
Apr 18, 2020·Plastic and Reconstructive Surgery·Jad Abi-RafehStephanie Thibaudeau
Jun 27, 2020·Plastic and Reconstructive Surgery·Jad Abi-RafehStephanie Thibaudeau
Oct 17, 2020·Seminars in Arthritis and Rheumatism·Paola Emilia FerraraGianpaolo Ronconi
Mar 7, 2021·International Journal of Biometeorology·İlknur Aykurt KarlıbelAyşe Alkan
May 28, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Lauren E BorowskiCordelia W Carter
Jun 4, 2021·Seminars in Musculoskeletal Radiology·Andrea B RosskopfAndrea Klauser
Nov 14, 2021·BMJ Case Reports·Jaimala Vijay ShetyeEkta Nitin Patil

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