This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category 'Other. The cookies is used to store the user consent for the cookies in the category 'Necessary'. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category 'Functional'. The cookie is used to store the user consent for the cookies in the category 'Analytics'. These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. This involves a transverse or longitudinal incision made and the tendon sheath split in the central aspect in a longitudinal direction, thus allowing the tunnel roof to form again as it heals but wider and with more space for the tendons to move.Ĭomplications from surgical decompression include failure to resolve, reduce range of movements in wrist or hand, neuroma formation, and nerve impingement. 2) may be used to exclude other diagnoses (such as CMC joint arthritis) ManagementĬonservative management of De Quervain’s tenosynovitis involves lifestyle advice (avoiding repetitive actions) and a wrist splint. Steroid injections will reduce swelling and relieve pain in most cases, and can be repeated several times if a good response is observed.įor those failing to respond to conservative management, surgical decompression of the extensor compartment can be performed under local or general anaesthetic. Figure 2 - A normal wrist X-ray, as seen in cases of De Quervain’s tenosynovitis Investigationsĭe Quervain’s tenosynovitis is a clinical diagnosis, with no investigations required.

Extensor compartment of wrist