Orthopedics - de Quervain's Syndrome
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de Quervain's Syndrome
of the extensor pollicis brevis and abductor pollicis longus within the
extensor sheath of the first digit.
Diagnosis and Management
- History and physical
- Plain films, MRI, CT
- Splinting: Wrist or
thumb spica splint for one month (at minimum for aggravating activities).
- Activity Modification.
- Work simplification
- Modalities (i.e.,
heat, ice, ultrasound) as clinically indicated.
- Prescribe NSAID.
Management and Objectives
Modification/continuation of initial management.
Indications for Specialty Care Referral
- Consider referral for
injection in chronic cases.
- X-ray for
for Return to Primary Care
Chronic condition that
can be managed at primary care level with intermittent specialty care
evaluation as needed.