Monday, 24 September 2012

DE Quervain Tenosynovitis Treated With Rest Modified Activities, "baby wrist" tendonitis, De quervains's tenosynovitis---De Quervain syndrome (French pronunciation: also known as gamer's thumb, washerwoman's sprain, radial styloid tenosynovitis, de Quervain disease, de Quervain's tenosynovitis, de Quervain's stenosing tenosynovitis, mother's wrist, or mommy thumb), is a tenosynovitis of the sheath or tunnel that surrounds two tendons that control movement of the thumb.

The two tendons concerned are the tendons of the extensor pollicis brevis and abductor pollicis longus muscles.

These two muscles, which run side by side, have almost the same function: the movement of the thumb away from the hand in the plane of the hand—so called radial abduction (as opposed to movement of the thumb away from the hand, out of the plane of the hand (palmar abduction).

The tendons run, as do all of the tendons passing the wrist, in synovial sheaths, which contain them and allow them to exercise their function whatever the position of the wrist.

Evaluation of histological specimens shows a thickening and myxoid degeneration consistent with a chronic degenerative process. The pathology is identical in de Quervain seen in new mothers.

De Quervain's is more common in women; the speculative rationale for this is that women have a greater angle of the styloid process of the radius.

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