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</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</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</p> Signup and view all the answers

    What is the primary location affected by De Quervain tendinopathy?

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

    Which tendons are primarily involved in De Quervain tendinopathy?

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

    What is a common cause of De Quervain tendinopathy?

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

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