Dispelling the Myth of Work-Related de Quervain's Tenosynovitis

John C. Dunn; Michael M. Polmear; Leon J. Nesti

doi:10.1055/s-0039-1677741

Journal of Wrist Surgery, Table of Contents

J Wrist Surg 2019; 08(02): 090-092
DOI: 10.1055/s-0039-1677741

Special Review: De Quervain's Tenosynovitis

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dispelling the Myth of Work-Related de Quervain's Tenosynovitis

John C. Dunn

¹Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas

,

Michael M. Polmear

¹Department of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas

,

Leon J. Nesti

²Department of Surgery, Uniformed Services University, Bethesda, Maryland

› Author Affiliations

Abstract

De Quervain’s Tenosynovitis (DQT) is a common condition characterized by pain about the dorsal-radial aspect of the wrist, just proximal to the radial styloid. The condition is precipitated by a thickened first dorsal compartment and its tendons. The impression that DQT is caused from work-related injury is misdirected, as no study has established an association between hand usage at work or trauma with DQT. Physicians should exercise caution when discussing the causes and natural history of DQT with symptomatic patients.

Keywords

de Quervain's tenosynovitis - occupation - repetitive - cumulative trauma - disorder

Full Text

References

References
1 de Quervain F. Über das Wesen und die Behandlung der stenosierenden Tendovaginitis am Processus styloideus radii. Münch Med Wschr 1912; 59: 5-6
2 Moore JS. De Quervain's tenosynovitis. Stenosing tenosynovitis of the first dorsal compartment. J Occup Environ Med 1997; 39 (10) 990-1002
3 Best TJ. Post-traumatic stenosing flexor tenosynovitis. Can J Plast Surg 2003; 11 (03) 143-144
4 Stahl S, Vida D, Meisner C. , et al. Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease. Plast Reconstr Surg 2013; 132 (06) 1479-1491
5 Stahl S, Vida D, Meisner C, Stahl AS, Schaller HE, Held M. Work related etiology of de Quervain's tenosynovitis: a case-control study with prospectively collected data. BMC Musculoskelet Disord 2015; 16: 126
6 Ilyas AM, Ast M, Schaffer AA, Thoder J. De Quervain tenosynovitis of the wrist. J Am Acad Orthop Surg 2007; 15 (12) 757-764
7 Clarke MT, Lyall HA, Grant JW, Matthewson MH. The histopathology of de Quervain's disease. J Hand Surg Br 1998; 23 (06) 732-734
8 Flörcken H. Zur Frage der stenosierenden Tendovaginitis am Processus styloideus radii (deQuervain). München Med Wochenschr 1912; 59: 1378
9 Patterson DC. DeQuervain's disease: stenosing tendovaginitis at the radial styloid. N Engl J Med 1936; 214: 101-102
10 Finkelstein H. Stenosing tendovaginitis at the radial styloid process. J Bone Joint Surg Am 1930; 12: 509-540
11 Stein HC. Stenosing tendovaginitis. Am J Surg 1927; 3: 77-78
12 Younghusband OZ, Black JD. DeQuervain's disease: stenosing tenovaginitis at the radial styloid process. Can Med Assoc J 1963; 89: 508-512
13 Leslie BM, Ericson Jr WB, Morehead JR. Incidence of a septum within the first dorsal compartment of the wrist. J Hand Surg Am 1990; 15 (01) 88-91
14 Lee ZH, Stranix JT, Anzai L, Sharma S. Surgical anatomy of the first extensor compartment: a systematic review and comparison of normal cadavers vs. De Quervain syndrome patients. J Plast Reconstr Aesthet Surg 2017; 70 (01) 127-131
15 El-Hadidy S, Badran D, Sirhan YS, Ababneh M, Doar H. De Quervain's tendovaginitis stenosans in Jordanians. Jordan Med J 2006; 40 (03) 179-183
16 Gonzalez MH, Sohlberg R, Brown A, Weinzweig N. The first dorsal extensor compartment: an anatomic study. J Hand Surg Am 1995; 20 (04) 657-660
17 Minamikawa Y, Peimer CA, Cox WL, Sherwin FS. De Quervain's syndrome: surgical and anatomical studies of the fibroosseous canal. Orthopedics 1991; 14 (05) 545-549
18 Shiraishi N, Matsumura G. Anatomical variations of the extensor pollicis brevis tendon and abductor pollicis longus tendon--relation to tenosynovectomy. Okajimas Folia Anat Jpn 2005; 82 (01) 25-29
19 Choi SJ, Ahn JH, Lee YJ. , et al. de Quervain disease: US identification of anatomic variations in the first extensor compartment with an emphasis on subcompartmentalization. Radiology 2011; 260 (02) 480-486
20 Beleckas CM, Wright M, Prather H, Chamberlain A, Guattery J, Calfee RP. Relative prevalence of anxiety and depression in patients with upper extremity conditions. J Hand Surg Am 2018; 43 (06) 571.e1-571.e8
21 Kim SK, Ahmed MA, Avins AL, Ioannidis JPA. A genetic marker associated with de Quervain's tenosynovitis. Int J Sports Med 2017; 38 (12) 942-948
22 Leclerc A, Landre MF, Chastang JF, Niedhammer I, Roquelaure Y. ; Study Group on Repetitive Work. Upper-limb disorders in repetitive work. Scand J Work Environ Health 2001; 27 (04) 268-278
23 Johnson CA. Occurrence of de Quervain's disease in postpartum women. J Fam Pract 1991; 32 (03) 325-327
24 Schumacher Jr HR, Dorwart BB, Korzeniowski OM. Occurrence of de Quervain's tendinitis during pregnancy. Arch Intern Med 1985; 145 (11) 2083-2084
25 Kazmers NH, Liu TC, Gordon JA, Bozentka DJ, Steinberg DR, Gray BL. Patient- and disease-specific factors associated with operative management of de Quervain tendinopathy. J Hand Surg Am 2017; 42 (11) 931.e1-931.e7
26 Kay NR. De Quervain's disease. Changing pathology or changing perception?. J Hand Surg Br 2000; 25 (01) 65-69