DeQuervain Tenosynovitis
Age: years old
Gender:
HISTORY:
Presents with a - history of pain
Onset was , and occurred
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: , ,
EXAM:
Wrist:
Inspection:
Palpation: on ,
Range of motion:
- Flexion:
- Extension:
- Ulnar deviation:
- Radial deviation:
Strength: , except on
Neurovascular: , pulses , cap refill sec, sensation
Special tests:
- Finkelstein test:
- Grind test:
- Phalen test:
- Tinel sign:
ASSESSMENT:
DDx: wrist tendonitis, extensor tendonitis, flexor tendonitis, intersection syndrome, osteoarthrosis of the 1st CMC joint, wrist sprain, wrist fracture, scaphoid fracture, carpal tunnel syndrome, triangular fibrocartilage complex injury, gout, wrist hydroxyapatite deposition, septic arthritis, ganglion cyst
PLAN:
Investigations:
- X-ray of the wrist
- MRI of the wrist
Treatments:
- Rest and avoid weight-bearing activities
- Ice application
- Wrist splint for protection
-
-
-
- Steroid injection
- Physical therapy
Further care:
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Wrist: ASSESSMENT: PLAN: