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9.22 Thumb Tenosynovitis (DeQuervain's)


Presentation

The patient, usually a middle-aged woman, has difficulty with tasks like opening jars because of pain at the base of the thumb, which may also be present upon awakening. On examination, there is little or no swelling and no deformity, just tenderness on palpating or stretching the extensor pollicis brevis and abductor pollicis longus tendons bordering the palmar side, or less commonly, the extensor pollicis longus tendon bordering the dorsal side of the anatomic snuffbox.

What to do:


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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
Jon Handler, MD
Michael Gillam, MD