De Quervain’s disease, or stenosing tenosynovitis of the first dorsal compartment of the wrist, is a common wrist pathology.
De Quervain’s tenosynovitis of the wrist is more common in women than men. It often presents with a gradual onset of pain that may be exacerbated by grasping, thumb abduction, and ulnar deviation of the wrist.The etiology is thought to be secondary to repetitive or sustained tension on the tendons of the first dorsal compartment.
The diagnosis is clinical and is most closely correlated with a positive Finkelstein test. Radiographs may be indicated to rule out other wrist pathologies.
Nonsurgical management is the mainstay of treatment, consisting of rest, thumb spica splinting, and corticosteroid injection. When non- surgical management fails to provide sustained relief, open surgical release of the first dorsal compartment, with identification of accessory compartments and protection of the radial sensory nerve, is performed with excellent results.