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How do we recognise the presence of De Quervain Malady?
A pain which amplifies when we use the thumb leads us to the thought of suffering of De Quervain Tenosynovitis.
Due to the inflammatory process in the area, the Tendon of Extensor Pollicis Brevis (TEPB) and the Tendon of Abductor Pollicis Longus (TAPL) tend to rub in the sheath of the compartment 1, and this fact leads to tendon’s blockage. This causes pain and functional impotence of the shattered hand.
From a clinic point of view, the positive Finkelstein’s test can diagnose the malady: put the thumb in palm and wrap the fingers around it then put the hand in ulnar deviation. It is considered to be positive if at the radial styloid, an increased pain strikes.
Sometimes, a Soft Tissues Ultrasound or a MRI should be performed to help us differentiate this disease from others with similar symptoms. The differential diagnosis shoud be made with Carpometacarpal Thumb Arthritis and Wartenberg Syndrom.