De-Quervain's Disease, also called tenosynovitis, is an inflammation of the extensor tendon sheath of the thumb.

De-Quervain's Disease is named after the surgeon who was the first to identify it. The thumb joint differs from the other fingers in its shape, its location and its own tendon system allowing it a wider movement range than that of the other fingers. The muscle mass at its base assists it in its opposed action to the other fingers. The muscles operating the thumb start at the middle finger and connect to two tendons, called the Abductor pollicis brevis and the Opponens pollicis, which in their action bend or straighten the thumb. The tendons are sheathed with strong connective tissue.

Causes for the development of inflammation in the tendon sheath

A thickening of the tendons and friction damage create the inflammation. The tendon thickening may be the result of direct trauma, strained activity or repeated activity.

Frequency of De-Quervain's Disease

De-Quervain's Disease typically appears in women in two age groups: around the age of 60 and among mothers of babies and thus it is called "the mothers' disease".

The disease may develop in people who use their thumbs in a repeated manner over time.

Characteristics of De-Quervain's Disease

Sensitivity at the thumb's side, sharp pain, swelling and warmth around the thumb, difficulty to reach the normal movement range, difficulties with grabbing objects.

Diagnosis of De-Quervain's Disease

It is possible to diagnose the disease by feeling around the thumb's base. The area is warm, inflated, sensitive and painful to touch.

Finkelstein Test - contracting the fingers into a fist, above the thumb, while tilting the wrist to the little finger's side causes sharp pain, which is typical for De-Quervain's Disease.

Treating De-Quervain's Disease

Using a splint - creating a situation of rest for the joint using a splint which support it and prevents its movement.

 

Anti-inflammatory medications - help reducing the inflammation in the joint, as well as the pain.

 

Cortisone injection - anti-inflammatory hormone used for focused treatment in reducing the inflammation and its accompanying pain.

 

Surgery - If the conservative treatment is inefficient there is need for surgical intervention in which a cut is performed in the bounding sheath of the tendons in order to release the pressure from them and thus preventing the friction which causes the inflammation

De- Quervain's Disease

Dr. Alon Covo

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"Shiba" Medical Center Tel HashomerHand surgery department

Ramat GanShai Medical Center– Private Medical Service Tel Hashomer, 4th Gildsgaim St.

Kfar Saba: Eli Horowitz 12.

Postal AddressDr. Alon Covo, 10th HaGanim St.

P.O. Box 3824 Hod Hasharon 4522174.

E-Mail: drcovo@drcovo.com

Appointments and messages054-7232194

מרכז רפואי "שיבא" תל השומר: המחלקה לכירורגיה של היד

מרפאת רמת גן: מרכז רפואי שי- שר"פ תל השומר, רחוב גילדסגיים 4.

מרפאת כפר סבא: מדיקל השרון- רחוב אלי הורביץ 12.

כתובת למשלוח דואר: ד"ר אלון קובו, רחוב הגנים 10 ת.ד. 3824,

הוד השרון, 4522174

דוא"ל: drcovo@drcovo.com

טלפון לזימון תורים והשארת הודעות: 054-7232194

המידע, העצות והתרגילים באתר הינם כללים וחלקיים בלבד ואינם באים להחליף יעוץ אישי מקצועי של רופא.

ד"ר קובו אינו אחראי לנזק שיגרם עקב הסתמכות על מידע זה, ולהתאמת או אי התאמת המידע, העצות והטיפולים לכל מטופל. המידע, העצות והתרגילים אינם מהווים תחליף או תוספת לפרוטוקול הרפואי.

המידע המובא באתר הינו כללי ומשותף לכלל הגולשים ולא חלה עליו סודיות מידע. בכל מקרה של סיבוך באזור הכאב או ספק או שאלה לגבי המידע שניתן באתר, יש לפנות מיד לרופא המטפל.

The information, advice and practices given in this web page are general and partial only and do not seek to replace professional personal advice given by a physician.

Dr. Covo bears no responsibility to any damage caused based on this information or to the degree in which the information, advice and treatment fit each and every patient. The information, advice and practices do not come as replacement or addition to the medical protocol. The information given in this site is general and common to all visitors and is not subject to confidentiality

In any case of complication in the area of the pain, of doubt or question about the information given in this web page, it is important to contact the treating physician immediately.