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J Am Acad Orthop Surg, Vol 15, No 12, December 2007, 757-764.
© 2007 the American Academy of Orthopaedic Surgeons
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de Quervain Tenosynovitis of the Wrist

Asif M. Ilyas, MD, Michael Ast, MD, Alyssa A. Schaffer, MD and Joseph Thoder, MD

Dr. Ilyas is Assistant Professor, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA. Dr. Ast is Medical Student, Temple University School of Medicine, Philadelphia. Dr. Schaffer is Resident, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital. Dr. Thoder is Chairman and Professor, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Ilyas, Dr. Ast, Dr. Schaffer, and Dr. Thoder.

Reprint request: Dr. Ilyas, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, 5th Floor Outpatient Building, 3401 North Broad Street, Philadelphia, PA 19140.

de Quervain disease, or stenosing tenosynovitis of the first dorsal compartment of the wrist, is a common wrist pathology. Pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendons in the fibro-osseus canal. de Quervain tenosynovitis of the wrist is more common in women than men. Diagnosis may be made on physical examination. Radiographs are helpful in ruling out offending bony pathology. Nonsurgical management, consisting of corticosteroid injections and supportive thumb spica splinting, is usually successful. In resistant cases, surgical release of the first dorsal compartment is done, taking care to protect the radial sensory nerve and identify all accessory compartments. Repair of the extensor retinaculum by step-cut lengthening or other techniques is rarely required.






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