De Quervain Tendinopathy: Thumbs and Finger Tendon Lesions
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Questions and Answers

What is a common differential finding between de Quervain tendinopathy and thumb joint osteoarthritis?

  • Pain radiating to the lateral forearm
  • Reduced grip strength due to pain
  • Crepitus at the radial styloid process
  • Tenderness at the base of the thumb (correct)

Which test is commonly used to elicit pain in individuals with de Quervain tendinopathy?

  • Finkelstein test (correct)
  • Phalen's test
  • Lachman test
  • Tinel's sign

What is the key element in managing de Quervain tendinopathy?

  • Full-time wear of splint
  • Avoiding all wrist movements
  • Regular high-impact exercises
  • Rest and symptom management (correct)

Which joint is commonly affected by osteoarthritis and mimics symptoms of de Quervain tendinopathy?

<p>1st carpometacarpal joint (A)</p> Signup and view all the answers

What type of exercises are encouraged for rehabilitation in individuals with de Quervain tendinopathy?

<p>Isometric, eccentric, or concentric exercises (D)</p> Signup and view all the answers

What type of medication can be considered if pain management with NSAIDs and splinting is ineffective for de Quervain tendinopathy?

<p>Corticosteroid injections (A)</p> Signup and view all the answers

What is the primary location affected by De Quervain tendinopathy?

<p>Hand and wrist region (A)</p> Signup and view all the answers

Which tendons are primarily involved in De Quervain tendinopathy?

<p>Abductor pollicis longus and extensor pollicis brevis (C)</p> Signup and view all the answers

What is a common cause of De Quervain tendinopathy?

<p>Frequent extension and abduction of the thumb (C)</p> Signup and view all the answers

Why is De Quervain tendinopathy more common in females during childbearing years?

<p>Increased hormonal changes leading to fluid retention in the synovial sheath (B)</p> Signup and view all the answers

What role does the synovial sheath play in protecting tendons in the wrist and hand?

<p>It protects the tendons from friction forces during daily activities (A)</p> Signup and view all the answers

How does the pathophysiology of De Quervain condition differ between acute and chronic conditions?

<p>Acute involves inflammation of tendon sheath; chronic involves noninflammatory thickening (A)</p> Signup and view all the answers

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