الفهرس 
De Quervain’s tenosynovitisOnly 14 pages are availabe for public view
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Abstract
De Quervain’s tenosynovitis was originally described as stenosing tenosynovial inflammation of the first dorsal compartment of the wrist containing the abductor pollicis longus (APL) and extensor pollicis brevis (EPB). This condition is typically characterized by radial-sided wrist pain, tenderness to palpation within the first extensor compartment, and pain elicited by Finkelstein test. Frequently, symptoms are worsened by repetitive ulnar wrist deviation with repeated thumb extension and abduction, symptoms may also be hormonally influenced, contributing to the high frequency in women aged 30 to 50 years. De Quervain’s tenosynovitis is characterized by myxoid and degenerative changes rather than inflammatory processes. Ultrasound is a reliable and sensitive method for detecting tenosynovitis. It can detect structural changes, even minimal tendon abnormalities, tendon inner structure, tendon thickening, effusion, intra compartmental septum and paratendinitis. Different treatment options have been proposed for this condition. Nonsurgical modalities are the first line of treatment and include rest, ice, non-steroidal anti-inflammatory drugs, therapeutic exercise and splinting. Other described treatments include: corticosteroid injection, acupuncture, ozone oxygen, hyaluronic acid injections, prolotherapy, ultrasound-guided percutaneous needle tenotomy and platelet-rich plasma (PRP) injection. Ultrasound guided injection technique has the advantage of directing the
probe exactly at the site of pathology.