1.Research progress of stenosing tenosynovitis of radial styloid process based on anatomical structure.
Yi-Feng SHEN ; Qiao-Yin ZHOU ; Shi-Liang LI
China Journal of Orthopaedics and Traumatology 2019;32(5):479-484
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.
De Quervain Disease
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Humans
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Radius
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Tendon Entrapment
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Tenosynovitis
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Wrist Joint
2.Septated de Quervain's Disease with MRI Images: A case report.
Sun Hong SONG ; Hwa Sung JUNG ; Jung Hoi KOO ; Jae Hong AHN ; Kwang Duk JOH
Journal of the Korean Academy of Rehabilitation Medicine 2007;31(5):602-605
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.
De Quervain Disease*
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Edema
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Female
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Humans
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Magnetic Resonance Imaging*
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Middle Aged
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Motor Vehicles
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Tendons
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Tenosynovitis
;
Wrist
3.A case report of tuberculous tenosynovitis.
Eun Jung CHOI ; Jin Han CHA ; Myong Chul PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(1):143-148
No abstract available.
Tenosynovitis*
4.Extensor Digitorum Tenosynovitis That Improved by Ultrasonographic guided Aspiration and Steroid Injection.
Hyun Sook KIM ; Ji Hyeon JU ; Chong Hyeon YOON ; Sung Hwan PARK ; Ho Youn KIM
The Journal of the Korean Rheumatism Association 2006;13(4):353-354
No abstract available.
Tenosynovitis*
5.Operative Treatment of Stenosing Tenosynovitis of the Peroneus Longus Tendon Associated with Hypertrophy of the Peroneal Tubercle: A Case Report - 1 Case.
Se Jin PARK ; Hwa Jae JEONG ; Eugene KIM ; Jae Wook LEE
Journal of Korean Foot and Ankle Society 2013;17(2):150-153
An enlarged peroneal tubercle causes lateral ankle and foot pain, and which is a cause for stenosing peroneal tenosynovitis. In this report, we present a case of stenosing tenosynovitis of the peroneus longus tendon associated with hypertrophy of the peroneal tubercle without involvement of the peroneus brevis tendon. Surgical excision of the enlarged peroneal tubercle along with exploration of the peroneal tendons was successful.
Animals
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Ankle
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Foot
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Hypertrophy
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Tendon Entrapment
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Tendons
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Tenosynovitis
6.Tendon Problems of the Ulnar Wrist.
The Journal of the Korean Orthopaedic Association 2017;52(2):138-145
It is challenging for orthopedic surgeons to diagnose pain at the ulnar aspect of the wrist due to the small and complex anatomical structures involved. Ulnar-sided wrist pain can also result from tendon problems, including extensor carpi ulnaris tendon and flexor carpi ulnaris tendon. Disorders of the extensor carpi ulnaris tendon include subluxation, dislocation, stenosing tenosynovitis, and tendinopathy. Unlike the extensor carpi ulnaris tendon which is prone to subluxation, dislocation and stenosing tenosynovitis from passing through as sheath, a flexor carpi ulnaris tendon is unsheathed, and calcific tendinitis and crystal deposition disease can occur at the distal tendinous portion of the flexor carpi ulnaris tendon.
Dislocations
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Orthopedics
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Surgeons
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Tendinopathy
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Tendon Entrapment
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Tendons*
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Tenosynovitis
;
Wrist*
7.Randomized Controlled Trial on Combined Percutaneous Release and Steroid Injection Versus Percutaneous Release Alone for Trigger Finger in Adults
Jerome David J. Sison ; Tammy L. dela Rosa
Acta Medica Philippina 2021;55(3):285-289
INTRODUCTION: Trigger finger is one of the most common causes of hand pain and disability. Surgical treatment consists of release of the A-1 pulley by open or percutaneous techniques. Many authors have noted that percutaneous release is convenient and cost-effective with a low complication rate. Only few studies have published results on combination of percutaneous release and steroid injection.
OBJECTIVE: To compare the differences of outcomes in adults with trigger finger treated with combination of percutaneous release and corticosteroid injection to those treated with percutaneous release alone
METHODS: We included all patients older than 18 years old in the UP-PGH Department of Orthopedics with a diagnosis of trigger finger who have consented to participate in this study. They were randomized into two treatment groups. One group was treated with percutaneous release only and the other group was treated with combined percutaneous release and corticosteroid injection. Outcomes measured were total active motion (TAM), postoperative pain, time to return-to-work, patient satisfaction, and complications.
RESULTS: Post-procedure, both groups showed significant improvement in motion of the fingers (p = 0.034) and pain relief (p = 0.001). TAM scores of the combination group were better compared to the control at all time intervals (p = 0.03, 0.008, 0.004, 0.019) and better pain VAS scores in the 1st week (p = 0.009). Patients who received the combination treatment showed a trend toward better patient satisfaction, shorter duration of post-release pain and earlier return-to-work.
CONCLUSION: significantly improves TAM and pain VAS scores.
Trigger Finger Disorder
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Tendon Entrapment
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Steroids
8.Progress on treatment for stenosing tenosynovitis.
Jie ZHAO ; Xiao-Yu DAI ; Shuang-Hua HE
China Journal of Orthopaedics and Traumatology 2019;32(4):387-390
Radial styloid stenosing tenosynovitis is a kind of common chronic motor system injuries, and could lead to joint pain and aggravates with activity, in further makes a great impact on people's daily life. At present, therapeutic methods for this disease could divid into conservative treatment and surgical treatment. What we pay attention to is cure. Conservative treatment could effectively relieve pain and improve wrist motion in acute phase, however, it make little difference on long--term effect and usually cause to reappear. Surgical treatment, as a kind of invasive therapies, is chosen only when facing recalcitrant radial styloid stenosing tenosynovitis with many complications for its high cure rate. The author thought that patient education should play an important role in the therapy of radial styloid stenosing tenosynovitis, comprehensive treatment could be applied according to the different conditions of disease development, and could increase cure disease.
Humans
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Radius
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Tendon Entrapment
;
diagnosis
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therapy
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Tenosynovitis
;
therapy
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Wrist
;
Wrist Joint
9.Distal Intersection Syndrome of the Wrist: Three Cases Report.
Seung Oh NAM ; Dong Ju SHIN ; Tae Eun KIM ; Sung Wook KIM ; Hun Sik CHO
Journal of the Korean Society for Surgery of the Hand 2011;16(4):259-263
Distal intersection syndrome indicates simultaneous tenosynovitis or tendinosis of the second and third extensor compartment where extensor pollicis longus cross with the tendons of the second extensor compartment. We report three cases of distal intersection syndrome which differ from usual intersection syndrome.
Tendinopathy
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Tendons
;
Tenosynovitis
10.Rice Body Tenosynovitis without Tuberculosis Infection after Multiple Acupuncture Procedures in a Hand.
Seung Eun HONG ; Ji Hyun PAK ; Hyun Suk SUH ; So Ra KANG ; Bo Young PARK
Archives of Plastic Surgery 2015;42(4):502-505
No abstract available.
Acupuncture*
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Hand*
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Tenosynovitis*
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Tuberculosis*