Thumb abduction how to#

This deposition results in thickening of the tendon sheath, painfully entrapping the APL and EPB tendon. Although the term “stenozing tenosynovitis” is frequently used, the histopathological examination of De Quervain's disease indicates that it does not involve inflammation but degenerative changes such as myxoid degeneration, fibrocartilaginous metaplasia, and deposition of mucopolysaccharide and neovascularization. This condition is most probably caused by thickening of the extensor retinaculum of the wrist. These muscles are located on the dorsal side of the forearm and go to the lateral side of the thumb through a fibrous-osseous tunnel made of the processus styloideus and the extensor retinaculum. These tendons include the abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Available from: ĭe Quervain's tenosynovitis is a painful inflammation of tendons on the side of the wrist at the base of the thumb.

Efficacy of thumb abduction orthosis versus local methylprednisolone acetate injection in De Quervain's tenosynovitis: A randomized controlled trial.

Thumb abduction how to#

How to cite this URL: Das R, Bimol N, Deb D, Meethal SA, Singh YN. How to cite this article: Das R, Bimol N, Deb D, Meethal SA, Singh YN. Keywords: De Quervain's disease, methylprednisolone acetate, thumb abduction orthosis At 1-month of follow-up, VAS and Quick DASH score in control group significantly improved compared to study group ( P 0.05).Ĭonclusions: Although methylprednisolone acetate injection has an excellent outcome, thumb abduction orthosis can be an alternative treatment option for De Quervain's disease. There was a significant improvement in both mean VAS scores and Quick DASH scores in both the groups. Results: Out of the total 60 patients, 51 patients were females and 9 were males. Statistical Analysis: Chi-square test, independent t-test, and paired t-test were used for analysis. Follow-up assessment was done at 1 month, 3 months, and 6 months. Treatment effectiveness was measured by visual analog Scale (VAS) for pain and Quick disabilities score of the Arm, Shoulder, and Hand (quick DASH) for functional assessment. Subjects and Methods: In Group 1, thumb abduction orthosis was applied, and in Group 2, injection methylprednisolone acetate was given in the first dorsal compartment. Settings and Design: A randomized controlled study was conducted from September 2017 to August 2019, in the Physical Medicine and Rehabilitation Department of a tertiary hospital in Imphal, Manipur. For those individuals with persistent symptoms, nonsurgical modalities such as rest, massage, cold and heat application, splinting, physical therapy, systemic anti-inflammatory drugs, and corticosteroid injections have been tried with variable success.Īims: The aim of this study was conducted to compare the efficacy of thumb abduction orthosis with local methylprednisolone acetate injection for the management of De Quervain's tenosynovitis. It can be self-limited and may resolve without intervention. The most common cause is chronic overuse. Context: De Quervain's disease tenosynovitis is a painful inflammation of tendons on the side of the wrist at the base of the thumb.