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Ultrasonographic diagnosis of de Quervain’s tenosynovitis
  1. M Kamel1,
  2. K Moghazy2,
  3. H Eid3,
  4. R Mansour4
  1. 1Al-Azhar University, Cairo, Egypt; and Dr Fakhry-Al-Mouhawis Hospital, Al-Khobar, Saudi Arabia
  2. 2Alexandria University, Egypt
  3. 3Menofyia University, Egypt
  4. 4Dr Fakhry-Al Mouhawis Hospital, Al-Khobar, Saudi Arabia
  1. Correspondence to:
    Dr M Kamel, Dr Fakhry-Al Mouhawis Hospital, PO Box 251, Al-Khobar, Saudi Arabia;
    mkamel56{at}hotmail.com

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de Quervain’s disease is a stenosing tenosynovitis. There is inflammation of the cellular lining membrane of fibrous tube through which the tendons of abductor pollicis longus and extensor pollicis brevis move, at the radial styloid process beneath the flexor retinaculum. The disease may occur in rheumatoid arthritis, other inflammatory synovitides, and pregnancy. Patients have considerable pain and a weak hand grip.

PATIENTS AND METHODS

We investigated the value of ultrasonography in the diagnosis of de Quervain’s tenosynovitis and monitored the changes in tendon sheath after ultrasound guided local steroid injection. Twenty one patients with a clinical diagnosis of de Quervain’s tenosynovitis and 10 healthy subjects were studied prospectively. We used a visual analogue scale (VAS) 0–10 and grip strength to measure pain.

The ultrasound examination was performed using an HDI 3000 from ATL (USA) with an 11 MHz linear …

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