De Quer­vain Ten­donitis

Euroa Gazette - - NEWS - By Dr Dong Xiu Dong

De Quer­vain ten­donitis of the thumb is an in­flam­ma­tion of the ten­dons re­spon­si­ble for mov­ing the thumb away from the hand. It is also known as “wash­er­woman’s sprain” be­cause it was pre­vi­ously com­mon in women wash­ing and wring­ing out clothes. Ten­donitis of the thumb de­vel­ops from ex­ces­sive fric­tion and ir­ri­ta­tion of the ab­duc­tor ten­dons of the thumb. This causes ten­don swelling, mak­ing it dif­fi­cult for the usual smooth glid­ing mo­tion re­sult­ing in swelling and dis­tor­tion. While any adult can get ten­donitis, it is a com­mon fea­ture of mid­dle age, with typ­i­cal on­set be­ing 40-50 years. Oth­ers sus­cep­ti­ble in­clude: peo­ple per­form­ing con­stant, rapid and rep­e­ti­tious ac­tions Peo­ple un­der­tak­ing con­sid­er­able wash­ing du­ties by hand Peo­ple sus­tain­ing di­rect heavy blow on base sus­tain­gof thumb.

Symp­toms:

Pain grad­u­ally de­vel­op­ing on thumb side of wrist

Pain when stretch­ing thumb

Pain in­creases with use of hand and thumb. es­pe­cially when forcibly grasp­ing ob­jects and turn­ing wrist

Pain when pinch grasp­ing

Dif­fi­cult writ­ing

Treat­ment may in­clude:

Rest from stren­u­ous ac­tiv­i­ties

Wear­ing a splint

Oral anti-in­flam­ma­tory med­i­ca­tion

Cor­ti­sone in­jec­tion into space around ten­dons

can re­duce in­flam­ma­tion and swelling For se­vere symp­toms, sur­gi­cal cor­rec­tion may help.

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