de quervain’s syndrome
DESCRIPTION
De Quervain’s Syndrome. Miss Meg Birks Consultant Hand Surgeon GP Education event 1 st March 2012. Presentation – symptoms. Radial Sided wrist pain Difficulty with everyday activities Writing/typing Opening bottles/jars Using scissors. Presentation - signs. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/1.jpg)
De Quervain’s Syndrome
Miss Meg BirksConsultant Hand Surgeon
GP Education event 1st March 2012
![Page 2: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/2.jpg)
Presentation – symptoms
• Radial Sided wrist pain
• Difficulty with everyday activities– Writing/typing– Opening bottles/jars– Using scissors
![Page 3: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/3.jpg)
Presentation - signs
• Swelling and tenderness over the tendons
• Finklestein’s test positive
![Page 4: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/4.jpg)
Differential Diagnosis
• OA base of thumb• STT joint OA• Scaphoid pathology• Carpal tunnel syndrome
![Page 5: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/5.jpg)
Further Information
![Page 6: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/6.jpg)
Injection technique• Position the wrist
on table, thumb side up
• Palpate the radial styloid
• Approach from distal (hand end) at 45°
![Page 7: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/7.jpg)
Injection technique
• Insert needle to bone and then withdraw a few millimetres
• Inject – hope to see a “sausage” of fluid form
• Reposition needle (same entry point) if strong resistance
![Page 8: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/8.jpg)
Possible complications
• Irritation of superficial radial nerve• De pigmentation of skin• Fat atrophy• Failure to improve
– Consider confirming the diagnosis with USS
![Page 9: De Quervain’s Syndrome](https://reader035.vdocuments.mx/reader035/viewer/2022062410/56815c38550346895dca2b81/html5/thumbnails/9.jpg)
Any Questions?