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Cardiology63 papers

Quervain's fracture

Last edited: 4/15/2026

Overview

De Quervain's disease, also known as de Quervain's tenosynovitis, involves inflammation of the extensor pollicis brevis and abductor pollicis longus tendons at the radial styloid, typically causing pain and swelling along the thumb's radial aspect 1.

Diagnosis

  • Clinical presentation includes pain and tenderness over the radial styloid, exacerbated by thumb movements, especially gripping or pinching 1.
  • Finkelstein test is positive in most cases, eliciting pain on ulnar deviation of the wrist with the thumb held in a fist 1.
  • Imaging (US or MRI) may be considered to rule out other conditions but is not routinely necessary 1.

    • Management

  • First-line treatment includes rest, splinting (especially at night), and nonsteroidal anti-inflammatory drugs (NSAIDs) 1.
  • Corticosteroid injections can be effective when conservative measures fail 1.
  • Physical therapy focusing on ergonomic modifications and gentle stretching exercises may be adjunctive 1.

    • Special Populations

  • Pediatrics: Triggering due to de Quervain's disease in children is exceptionally rare, with no reported cases in the English literature for a 7-year-old 1.
  • Pregnancy: Not addressed in the provided abstracts.
  • Elderly: Not addressed in the provided abstracts.
  • Comorbidities: Not addressed in the provided abstracts.

    • Key Recommendations

  • Initiate treatment with conservative measures including splinting and NSAIDs for de Quervain's disease 1 (Evidence: Moderate).
  • Consider corticosteroid injection for refractory cases 1 (Evidence: Moderate).
  • Recognize the rarity of de Quervain's disease triggering in pediatric populations, particularly in young children 1 (Evidence: Weak).

    • References

    1 Chow SP. Triggering due to de Quervain's disease. The Hand 1979. link80017-0)

    Original source

    1. [1]
      Triggering due to de Quervain's disease. — Chow SP The Hand (1979)
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