Anatomy/Symptoms
De Quervain’s tendinitis is the inflammation of the tendons that run down the side of the wrist to the thumb, namely the extensor pollicis brevis and the abductor pollicis longus. The tendon sheath that covers the tendons may become irritated and inflamed, causing pressure on the tendons as they pass through the sheath tunnel, resulting in pain.
Repeated lifting of heavy objects is a common cause of this condition, with symptoms appearing either suddenly or over time. The most common symptoms of de Quervain’s syndrome are pain and tenderness, usually at the base of the thumb. The pain may be worse during activity or on lifting or grasping movements.
Non-Operative Treatment
Non-operative treatment usually involves the use of anti-inflammatories or other analgesics for pain relief. Cortisone injections may also be suggested by your GP or surgeon. Wearing a splint during activity, and icing the wrist and thumb after activity are also ways of treating the symptoms of de Quervain’s.
Operative Treatment
Surgery is usually recommended if repeated Cortisone injections have not provided relief from symptoms. A simple day surgery procedure, the tendon sheath around the affected tendons is released, reducing the pressure on the tendons and therefore the associated pain.
Post-Operative Course
Following surgery, you will have a padded bandage dressing around your wrist. You can usually leave the dressing intact for a few days and then replace the dressing with a waterproof dressing, to leave in place until the wound has healed. You may be given a thumb wrap to wear to provide some support and protection while the wound heals.
Risks/Complications
Possible complications of this surgery include: