See also overview and evaluation of hand disorders. The thumb motion is restricted by the swollen tendons. The mucous sheaths of the tendons on the back of the wrist. Physiotherapy department dequervains tenosynovitis. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig. Tendons are covered by a thin soft sheath of tissue known as synovium. Place your hand on a flat surface, with your palm up. It is a progressive stenosing tenosynovitis whichaffects the tendon sheaths of the 1st dorsalcompartment of the wrist. The cause of tenosynovitis in many cases the cause is. It occurs when the 2 tendons around the base of your thumb become swollen. Descargue como docx, pdf, txt o lea en linea desde scribd. The journal of the american osteopathic association, may.
A prospective casecontrol study was conducted to analyze the most common risk factors for dq. This is essentially inflammation and irritation of the extensor tendons of the thumb at the wrist. This surrounds the two tendons that are involved in moving the thumb. Many people who enjoy knitting may experience pain or discomfort in the hands or wrist at some point. It gives rise to pain that is aggravated by active movements of the tendon or by passive stretching. This puts pressure on nearby nerves, causing pain and numbness. The result is pain at the base of the thumb and extending into the lower arm. The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb. A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. The muscles and bones of the hand are connected by thick flexible tissue called tendons. Extensor pollicis brevis and abductor pollicis longus are two tendons located on the thumb side of the wrist. Here are some examples of typical rehabilitation exercises for your condition. It can develop after a thumb injury, repetitive movements, rheumatoid arthritis and other. The modified eichoff maneuver, commonly called the finkelsteins test.
It is characterized by pain or tenderness at the radial side of the wrist. Directly before the wrist imagine an extension from the thumb to the forearm exist a tunnel. It causes pain at the thumb side of your wrist where the base of your thumb meets your. Most cases are associated with overuse, however, local trauma can also precipitate the condition. It usually occurs in middleaged individuals and is around 3x more common in women 80% of cases.
Two or sometmes three tendons run through this canal to the thumb. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. Characterised by degeneration and thickening ofthe tendon sheath. If you play too long, you might have gamers thumb, too.