Research progress of stenosing tenosynovitis of radial styloid process based on anatomical structure.
10.3969/j.issn.1003-0034.2019.05.018
- Author:
Yi-Feng SHEN
1
;
Qiao-Yin ZHOU
1
;
Shi-Liang LI
2
,
3
Author Information
1. Department of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing 100029, China.
2. Department of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing 100029, China
3. zrlishiliang@163.com.
- Publication Type:Journal Article
- Keywords:
Anatomy;
Diagnosis;
Radius styloid process;
Review literature;
Stenosis tenosynovitis;
Therapy
- MeSH:
De Quervain Disease;
Humans;
Radius;
Tendon Entrapment;
Tenosynovitis;
Wrist Joint
- From:
China Journal of Orthopaedics and Traumatology
2019;32(5):479-484
- CountryChina
- Language:Chinese
-
Abstract:
Stenosing tenosynovitis of styloid process of radius(de Quervain's disease) which abductor pollicis longus and extensor pollicis brevis in the first extensor chamber are affected by resistance when sliding, the incidence is affected by anatomical variations. Symptoms, signs and auxiliary examinations can diagnose the disease. Slight dQS can be improved by rest, brace, restriction activities, and oral medications. Chinese medicine and physiotherapy also reduce the disease. Needle knife therapy is a Traditional Chinese medicine minimally invasive surgery, which is also a step-by-step treatment between conservative treatment and open surgery to loosening the compression of the first extensor chamber. Steroid injection is a more common treatment in this disease, and its efficacy is related to the accuracy of the injection and is affected by the severity of the patient's anatomical variation. Identifying the spacing within the first extensor chamber under ultrasound can help patients better choose conservative or surgical treatment. Surgical treatment can more completely change the condition of dQD from anatomical structure, and clinical should pay attention to the choice of surgical procedure to improve the efficacy and reduce the occurrence of surgical complications. This article discusses the pathogenesis, diagnosis and treatment of the disease from the perspective of anatomical structure. It mainly analyzes the therapeutic targets and the clinical application, which aims to provide reference for the diagnosis and treatment of de Quervain disease.
