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De Quervain disease

Also known as De Quervain Tenosynovitis, Radial Styloid Tenosynovitis, and Tenosynovitis Stenosans

Stenosing tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons in the first dorsal wrist compartment. The presenting symptoms are usually pain and tenderness at the radial styloid. The cause is almost always related to OVERUSE INJURY or is associated with RHEUMATOID ARTHRITIS.

Source: MeSH

What are the symptoms?

Within all the people who go to their doctor with de quervain disease, 88% report having wrist pain, 73% report having hand or finger pain, and 43% report having shoulder pain. The symptoms that are highly suggestive of de quervain disease are wrist pain, hand or finger pain, wrist swelling, and wrist stiffness or tightness, although you may still have de quervain disease without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with de quervain disease often receive application of splint, other therapeutic procedures, physical therapy exercises, occupational therapy assessment, injections and aspirations of muscles; tendons; bursa; joints and soft tissue, other non-or therapeutic procedures on musculoskeletal system, bone density scan and culture wound .

Common Medications

The most commonly prescribed drugs for patients with de quervain disease include triamcinolone topical product, meloxicam, bupivacaine, diclofenac, dyclonine topical, estropipate (ogen), orlistat (alli), diclofenac topical product, exemestane (aromasin), chlordiazepoxide / clidinium, iodine topical, diclofenac / misoprostol and nisoldipine (sular) .

Who is at risk?

Groups of people at highest risk for de quervain disease include race/ethnicity = other, age 60-74 years and age 45-59 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get de quervain disease.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.5x
30-44 years
1.4x
45-59 years
1.7x
60-74 years
1.7x
75+ years
0.6x

Sex

Male
0.5x
Female
1.4x

Race/Ethnicity

Black
0.6x
Hispanic
1.0x
White
1.1x
Other
1.6x
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