De Quervian’s Syndrome is a painful condition that involves irritation of the two tendons (APL & EPB) that run through a tunnel on the radial aspect of the wrist.
What we will see
Patients who present with recent onset of De Quervain’s symptoms, and for whom oral or topical NSAIDs have been considered.
Clinical examination area of pain – palpation of radial side of wrist = tenderness, reduced ulnar deviation of wrist, positive Finklestein’s manoeuvre.
What we won’t see
Patients with diagnostic difficulties.
These patients should be referred to Plastic Surgery / Hand Surgery Unit.
- Oral and topical NSAIDs
- Wrist splint with thumb extension include photo – medical photography.
- Rest
- If trained to do so the GP may consider giving a steroid injection into the first extensor compartment.
- The British Society for Surgery of the Hand website provides a wealth of information for patients and medical professionals on hand conditions including injuries and disorders, hand surgery and hand therapy BSSH/de_quervains_syndrome.
- NHS Lothian Virtual Hand Unit Website was developed in 2021 with the aim of improving the information provided to patients following referral, and to avoid unnecessary face to face appointments. The information is intended to compliment what patients are told in clinic and offer a trusted source of information Dupuytrens Disease – Lothian Virtual Hand Clinic
- NHS Lothian Refhelp/PlasticSurgery/DeQuervainsDisease
