De Quervain’s

Dr Fritz De Quervain described this condition . It is a stenosing tenosynovitis of the 1st dorsal extensor compartment of the wrist. In other words, two thumb tendons (APL, EPB) (Abductor Pollicis Longus, Extensor Pollicis Brevis) are trapped at the wrist level.

The symptoms are pain on moving the thumb or wrist . pain is on the thumb side of the wrist. Finkelstein’s test at examination is pathognomonic – ie diagnostic.

Treatment is relatively easy and reliable:

  • Cortisone injection – in my office
  • Surgical release – under general anaesthetic in hospital. Releasing tendons. It takes only 5 minutes. Results are usually rapid and lasting relief