Your doctor will also perform a finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Characterised by degeneration and thickening ofthe tendon sheath. Physiotherapy department dequervains tenosynovitis. This surrounds the two tendons that are involved in moving the thumb. Stenosing tenosynovitis of the first dorsal compartment. A tendon is a strong band of tissue that attaches muscle to bone. Multiple modalities of treatment have been proposed and no definitive guidelines have been set yet. See also overview and evaluation of hand disorders. A sheath, or covering, surrounds the tendons that go to your thumb. The cause of tenosynovitis in many cases the cause is unknown. This thickening is usually associated with acute or repetitive trauma and restrains the gliding of the tendons.
Conservative nonsurgical treatment for this condition is usually successful and typically once the stress on the tendon complex is removed the. There may be swelling and thickening of the sheath and it becomes very painful to move the thumb. It is a stenosing tenosynovitis of the abductor pollicis longus apl and extensor pollicis brevis epb tendons fig. It can develop after a thumb injury, repetitive movements, rheumatoid arthritis and other. Within the materials and methods that were used, highlights a quasitype design, where the sampling procedure for selecting. It is a painful irritation of the tendons on the thumb side of the wrist. It is a progressive stenosing tenosynovitis whichaffects the tendon sheaths of the 1st dorsalcompartment of the wrist.
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