The swollen tendons and their coverings rub against the narrow tunnel through which they pass. Here are some examples of typical rehabilitation exercises for your condition. Many people who enjoy knitting may experience pain or discomfort in the hands or wrist at some point. Directly before the wrist imagine an extension from the thumb to the forearm exist a tunnel. Two or sometmes three tendons run through this canal to the thumb. Descargue como docx, pdf, txt o lea en linea desde scribd. This surrounds the two tendons that are involved in moving the thumb. This study provides objective evidence regarding the therapeutic efficacy of. Most cases are associated with overuse, however, local trauma can also precipitate the condition. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. This is essentially inflammation and irritation of the extensor tendons of the thumb at the wrist.
It usually occurs in middleaged individuals and is around 3x more common in women 80% of cases. You may have pain when you move your wrist or pick things up. The muscles and bones of the hand are connected by thick flexible tissue called tendons. It gives rise to pain that is aggravated by active movements of the tendon or by passive stretching. It is characterized by pain or tenderness at the radial side of the wrist. Extensor pollicis brevis and abductor pollicis longus are two tendons located on the thumb side of the wrist. Physiotherapy department dequervains tenosynovitis. Patients may find it difficult to perform tasks that require turning. The modified eichoff maneuver, commonly called the finkelsteins test. This puts pressure on nearby nerves, causing pain and numbness. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig. Dequervains tenosynovitis is inflammation of the sheath the synovium. The result is pain at the base of the thumb and extending into the lower arm. It causes pain at the thumb side of your wrist where the base of your thumb meets your forearm.
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. It occurs when the 2 tendons around the base of your thumb become swollen. The first dorsal compartment at the wrist includes the tendons of the abductor pollicis longus apl and the extensor pollicis brevis epb. See also overview and evaluation of hand disorders. Therefore, daily activities that involve wrist and thumb movements may be affected 2. The mucous sheaths of the tendons on the back of the wrist. It develops when the abductor pollicis longus apl and extensor pollicis brevis epb tendons around the base of the thumb become swollen, often causing inflammation to develop. The journal of the american osteopathic association, may. Tendons are covered by a thin soft sheath of tissue known as synovium. It is a progressive stenosing tenosynovitis whichaffects the tendon sheaths of the 1st dorsalcompartment of the wrist. The thumb motion is restricted by the swollen tendons.
A case study approach was utilized in this article to demonstrate many of the available medical and occupational therapy modalities to treat this condition. If you play too long, you might have gamers thumb, too. It causes pain at the thumb side of your wrist where the base of your thumb meets your. The cause of tenosynovitis in many cases the cause is. A prospective casecontrol study was conducted to analyze the most common risk factors for dq. The swelling causes the sheaths casings covering the tendons to become inflamed. Tenosynovitis is inflammation of the synovial sheath surrounding the tendon. It can develop after a thumb injury, repetitive movements, rheumatoid arthritis and other. Place your hand on a flat surface, with your palm up.
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