De Quervain's Tenosynovitis

Ben MitchelTrae Tinsman

Thomas ColuzziAhja Frazier-Lancaster

Baseball player Played for 10 years Gripping the bat at hitting practice slowly

developed a pain from the inside of his wrist to the back of his thumb (where the thumb meets the wrist)

Athlete/Injury

De Quervain Tenosynovitis is a painful inflammation of tendons in the thumb that extend to the wrist (tenosynovitis).

The swollen tendons and their coverings rub against the narrow tunnel through which they pass. This results in a pain at the base of the thumb and extending into the lower arm.

Definition

Splint or taping of the wrist and thumb Anti-inflammatory, ibuprofen Resting Icy-hot or bengay

On Field Care

AcuteS/S What to Avoid Treatment

Gradual pain over the radial styloid when using thumb on affected hand

Making a fist Physical therapy

Difficulty gripping and pinching

Turning your wrist Occupational therapy

In sever cases pain when using hand

Gripping/pinching anything

May use cryotherapy (cold packs and ice massage) to reduce inflammation and edema

Topical corticosteroids driven into the subcutaneous tissues using ultrasound

SubacuteS/S What to Avoid Treatment

Swelling and pain in the thumb, May be difficult to move the thumb and wrist

Putting pressure on the thumb

Splints

Snapping sensation felt in the thumb upon movement

Excessive use of the hand

Anti-inflammatory medication

A fluid-filled cyst over the thumb

Any action that may cause pain in the thumb/wrist area

Ice

S/S What to Avoid Treatment

Pain along back of the thumb

Turning wrist Splint 24 hrs a day for 4 to 6 weeks

Pain up the forearm Excessive use of hand Ice for swelling

Swelling and pain on side of the wrist

Gripping anything Anti-Inflammatory meds

Making a fist No response to treatment then surgery

Chronic