Extensor triggering in de Quervain's stenosing tenosynovitis

Gregory M. Alberton, Whitney A. High, Alexander Yong-Shik Shin, Allen Thorp Bishop

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Extensor triggering is an uncommon but recognized component of de Quervain's stenosing tenosynovitis. In a retrospective review of 827 patients with the diagnosis of de Quervain's disease over a 5-year period, 11 patients with 13 affected wrists were identified who had demonstrable triggering by both history and physical examination (prevalence of 1.3%). One wrist underwent surgical release without conservative treatment. The remaining 12 wrists were initially treated with nonoperative modalities. Failure of conservative treatment as defined by recurrent triggering and pain occurred in 7 wrists, of which 5 underwent surgical release. At the time of surgery, all wrists were noted to have synovitis, separate compartments for the extensor pollicis brevis and abductor pollicis longus tendons, and no intratendinous nodules. After an average follow-up period of 42 months (range, 5.7-94.5 months) there were no recurrences of triggering after surgical treatment. Seven of 12 wrists with triggering de Quervain's stenosing tenosynovitis failed nonoperative treatment. Triggering or locking in extension is an uncommon symptom in de Quervain's stenosing tenosynovitis and demonstrates a more recalcitrant course when treated nonoperatively.

Original languageEnglish (US)
Pages (from-to)1311-1314
Number of pages4
JournalJournal of Hand Surgery
Volume24
Issue number6
DOIs
StatePublished - Nov 1999

Fingerprint

De Quervain Disease
Wrist
Synovitis
Tendons
Physical Examination
History
Recurrence
Pain
Therapeutics

Keywords

  • De Quervain's tenosynovitis
  • Prevalence
  • Treatment
  • Triggering

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Extensor triggering in de Quervain's stenosing tenosynovitis. / Alberton, Gregory M.; High, Whitney A.; Shin, Alexander Yong-Shik; Bishop, Allen Thorp.

In: Journal of Hand Surgery, Vol. 24, No. 6, 11.1999, p. 1311-1314.

Research output: Contribution to journalArticle

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