de quervain’s tenosynovitis
DESCRIPTION
de QUERVAIN’S TENOSYNOVITIS. กับทันตแพทย์ โดย นายแพทย์วิรัตน์ เตชะอาภรณ์กุล ในวันพฤหัสบดีที่ 8 ธันวาคม 2554. de Quervain’s Tenosynovitis. - PowerPoint PPT PresentationTRANSCRIPT
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กับทันตแพทย์โดย
นายแพทยว์ริตัน์ เตชะอาภรณ์กลุ
ในวนัพฤหัสบดีท่ี 8ธนัวาคม 2554
de QUERVAIN’S
TENOSYNOVITIS
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de Quervain’s Tenosynovitis
de Quervain’s Tenosynovitis occur when there is inflammation and/or entrapment of extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendon.
It is precipitated by repetitive wrist motion, especially thumb flexion combined with ulnar deviation of the wrist.
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SYMPTOMS & SIGN
Pain and swelling about the region of the radial styloid,especially during grasping movement with the thumb.
Finkelstein’s test involves actively flexing the thumb into the palm while making a closed fist, while having the examiner passively deviate the wrist in an ulnar direction.
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Demonstration of Finkelstein’s test with the thumb in the palm and the wrist ulnarly deviated.
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TREATMENTAcute therapies can involve ice applicaion for 15 minutes every 6 hours or NSAIDS.
Rest.Modalities.Thumb spica splint or buddy taping thumb to index finger for resting APL and EPB tendon.
Analgesics.Steroid injection.
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Thank you