De Quervains Disease

What we will see

• Diagnostic difficulties
• Pain unresponsive to simple non-interventional measures

 Specific tests                                                  

• Clinical examination area of pain – palpation of radial side of wrist = tenderness, reduced ulnar deviation of wrist, positive Finklestein’s manoeuvre

Trial of therapy pre-referral

• Oral and topical NSAIDs
• Wrist splint
• Rest
• If trained to do so the GP may consider giving a steroid injection into the first extensor compartment

Whom to direct referral to

• Injection clinic
  • Run by Allied Health Professional under supervision of consultant hand surgeon
• Any hand surgeon