eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity

De Quervain Tenosynovitis: Follow-up

Author: Roy A Meals, MD, Clinical Professor, Department of Orthopedic Surgery, University of California at Los Angeles
Contributor Information and Disclosures

Updated: Feb 17, 2009

Outcome and Prognosis

Relief is permanent following successful surgery. Some patients who have been successfully treated with injections may have recurrent symptoms when they return to lifting infants aged 6-12 months. This author would suggest the following: relief is usually permanent.

Future and Controversies

Surgeons have had more than 100 years of experience with de Quervain tenosynovitis. The described treatment is widely accepted, and no significant controversies exist. No significant changes in diagnosis and treatment are anticipated for this lowly, yet irksome, condition.

 


More on De Quervain Tenosynovitis

Overview: De Quervain Tenosynovitis
Workup: De Quervain Tenosynovitis
Treatment: De Quervain Tenosynovitis
Follow-up: De Quervain Tenosynovitis
Multimedia: De Quervain Tenosynovitis
References

References

  1. DeQuervain F. Ueber eine Form von chronischer Tendovaginitis. Corresp Blatt Schweizer Arzte. 1895;25:389-94.

  2. de Quervain F. On a form of chronic tendovaginitis by Dr. Fritz de Quervain in la Chaux-de-Fonds. 1895. Am J Orthop. Sep 1997;26(9):641-4. [Medline].

  3. de Quervain F. On the nature and treatment of stenosing tendovaginitis on the styloid process of the radius. (Translated article: Muenchener Medizinische Wochenschrift 1912, 59, 5-6). J Hand Surg [Br]. Aug 2005;30(4):392-4. [Medline].

  4. de Quervain F. On a form of chronic tendovaginitis. (Translated article: Cor-Bl.f.schweiz. Aerzrte 1895:25:389-94). J Hand Surg [Br]. Aug 2005;30(4):388-91. [Medline].

  5. Guerini H, Pessis E, Theumann N, Le Quintrec JS, Campagna R, Chevrot A, et al. Sonographic appearance of trigger fingers. J Ultrasound Med. Oct 2008;27(10):1407-13. [Medline].

  6. Finkelstein H. Stenosing tendovaginitis at the radial styloid process. Journal of Bone and Joint Surgery. 1930;12:509-40.

  7. Kulthanan T, Chareonwat B. Variations in abductor pollicis longus and extensor pollicis brevis tendons in the Quervain syndrome: a surgical and anatomical study. Scand J Plast Reconstr Surg Hand Surg. 2007;41(1):36-8. [Medline].

  8. Weiss AP, Akelman E, Tabatabai M. Treatment of de Quervain's disease. J Hand Surg [Am]. Jul 1994;19(4):595-8. [Medline].

  9. Stephens MB, Beutler AI, O'Connor FG. Musculoskeletal injections: a review of the evidence. Am Fam Physician. Oct 15 2008;78(8):971-6. [Medline].

  10. Diop AN, Ba-Diop S, Sane JC, Tomolet Alfidja A, Sy MH, Boyer L, et al. [Role of US in the management of de Quervain's tenosynovitis: review of 22 cases]. J Radiol. Sep 2008;89(9 Pt 1):1081-4. [Medline].

  11. Sawaizumi T, Nanno M, Ito H. De Quervain's disease: efficacy of intra-sheath triamcinolone injection. Int Orthop. Apr 2007;31(2):265-8. [Medline].

  12. Scheller A, Schuh R, Hönle W, Schuh A. Long-term results of surgical release of de Quervain's stenosing tenosynovitis. Int Orthop. Oct 28 2008;[Medline].

  13. Jackson WT, Viegas SF, Coon TM. Anatomical variations in the first extensor compartment of the wrist. A clinical and anatomical study. J Bone Joint Surg [Am]. Jul 1986;68(6):923-6. [Medline].

  14. Dierks U, Hoffmann R, Meek MF. Open versus percutaneous release of the A1-pulley for stenosing tendovaginitis: a prospective randomized trial. Tech Hand Up Extrem Surg. Sep 2008;12(3):183-7. [Medline].

  15. Louis DS. Incomplete release of the first dorsal compartment--a diagnostic test. J Hand Surg [Am]. Jan 1987;12(1):87-8. [Medline].

  16. Arons MS. de Quervain's release in working women: a report of failures, complications, and associated diagnoses. J Hand Surg [Am]. Jul 1987;12(4):540-4. [Medline].

  17. McMahon M, Craig SM, Posner MA. Tendon subluxation after de Quervain's release: treatment by brachioradialis tendon flap. J Hand Surg [Am]. Jan 1991;16(1):30-2. [Medline].

  18. Cannon DE, Dillingham TR, Miao H, et al. Musculoskeletal disorders in referrals for suspected cervical radiculopathy. Arch Phys Med Rehabil. Oct 2007;88(10):1256-9. [Medline].

  19. Linscheid RL. Injuries to radial nerve at wrist. Arch Surg. Dec 1965;91(6):942-6. [Medline].

Further Reading

Keywords

De Quervain tenosynovitis, DeQuervain tenosynovitis, first dorsal compartment stenosing tendinitis, de Quervain tendinitis, de Quervain's tendinitis, de Quervain's tenosynovitis, de Quervain disease, de Quervain's disease, abductor pollicis longus, extensor pollicis brevis, entrapment tendinitis, Finkelstein test, tendovaginitis

Contributor Information and Disclosures

Author

Roy A Meals, MD, Clinical Professor, Department of Orthopedic Surgery, University of California at Los Angeles
Roy A Meals, MD is a member of the following medical societies: American Society for Surgery of the Hand
Disclosure: Nothing to disclose.

Medical Editor

Michael S Clarke, MD, Clinical Associate Professor, Department of Orthopedic Surgery, University of Missouri-Columbia School of Medicine
Michael S Clarke, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Academy of Pediatrics, American Association for Hand Surgery, American College of Surgeons, American Medical Association, Arthroscopy Association of North America, Clinical Orthopaedic Society, Mid-Central States Orthopaedic Society, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Michael Yaszemski, MD, PhD, Associate Professor, Departments of Orthopedic Surgery and Bioengineering, Mayo Foundation, Mayo Medical School
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Harris Gellman, MD, Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami School of Medicine
Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, and Arkansas Medical Society
Disclosure: Nothing to disclose.

 
 
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