QUERVAIN'S TENOSYNOVITIS, GENERAL DESCRIPTION

Abstract

INTRODUCTION: Quervain's tenosynovitis is a condition involving tendon entrapment affecting the first dorsal compartment of the wrist, causing pain that increases with thumb movement and radial and ulnar deviation of the wrist.

OBJECTIVE: To detail the current information related to Quervain's tenosynovitis and its management, as well as to analyze the conservative and surgical treatment of this disease.

METHODOLOGY: A total of 28 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 18 bibliographies were used because the other 10 articles were not relevant for this study. The sources of information were PubMed, Google Scholar and Elsevier; the terms used to search for information in Spanish and English were: Quervain's Tenosynovitis, surgical quervain's tenosynovitis. corticosteroids and quervain, non-surgical treatment tenosynovitis.

RESULTS: The choice of preferred treatment is subject to the severity of the condition. Oral non-steroidal anti-inflammatory drugs accompanied by immobilization are a good option. Corticosteroid injections are effective for this tenosynovitis, leading to success 73.4% of the time with 2 injections. The use of ultrasound can improve the accuracy of the injections. Surgery is essential in cases that recur and are not relieved by conservative therapies over the course of 3 to 6 months.

CONCLUSIONS: De Quervain's tenosynovitis is a pathology based on inflammation of the tendon sheath of the abductor pollicis longus and extensor pollicis brevis in the first extensor compartment of the wrist. Its diagnosis is clinical with a positive Finkelstein's test. Non-surgical measures are preferred for its treatment. The use of splints and corticosteroid injections together provides more benefit than when used individually. And finally surgical treatment is effective and safe but is not without complications.