Septated de Quervain's Disease with MRI Images: A case report.
- Author:
Sun Hong SONG
1
;
Hwa Sung JUNG
;
Jung Hoi KOO
;
Jae Hong AHN
;
Kwang Duk JOH
Author Information
1. Department of Rehabilitation Medicine, Kangnung Hospital, University of Ulsan College of Medicine, Korea. mdjhkoo@gnah.co.kr
- Publication Type:Case Report
- Keywords:
de Quervain's disease;
Tenosynovitis;
Septum
- MeSH:
De Quervain Disease*;
Edema;
Female;
Humans;
Magnetic Resonance Imaging*;
Middle Aged;
Motor Vehicles;
Tendons;
Tenosynovitis;
Wrist
- From:Journal of the Korean Academy of Rehabilitation Medicine
2007;31(5):602-605
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
De Quervain's disease is the most common form of tenosynovitis, which causes disability in daily living and occupational activity. Anatomical variations in the first extensor compartment including separate comparment influenced the effects of treatment. A 45-year-old woman had severe pain on wrist and suffered in activity of daily living after motor vehicle accident. She had swelling and tenderness upon the radial styloid process, and more aggravated pain by Finkelstein's maneuver test. The magnetic resonance imaging (MRI) scans showed severe peritendinous edema within the synovial sheath, increased signal intensity within the tendons. Also, the images revealed a thickened septum between abductor pollicis longus and extensor pollicis brevis. Corticosteroid was injected on both sides of the septum. We report a case of definite septum of de Quervain's disease via MRI scans.
