Stenosing tenosynovitis of the abductor pollicis longus muscle in dogs

Summary

Chronic lameness of the forelimb with a firm swelling at the medial aspect of the antebrachiocarpal joint can be caused by a tenosynovitis of the abductor pollicis longus muscle. Connective tissue proliferation leads to stenosis of the synovial sheath. The patients show pain in hyperflexion of the carpus. Radiographically, proliferative bone reactions at the distal radius can be found in advanced cases of the disease. If the results of medical treatment by injection of corticosteroids in the area of the synovial sheath are not successful, good results can be achieved by surgical release of the tendon. Based on 10 cases examined, aetiology, clinical findings and therapy are discussed and compared with de Quervain’s tenosynovitis in man.

Lameness due to tenosynovitis of the abductor pollicis longus muscle is reported and findings and therapy of ten animals is discussed.

Keywords

Tenosynovitis - abductor pollicis longus muscle - dog

• REFERENCES

• 1 Anderson BC, Manthey R, Brouns MC. Treatment of de Quervain’s tenosynovitis with corticosteroids. Arthritis and Rheumatism 1991; 34: 793-8.
• 2 Arons MS. De Quervain’s release in working women: A report of failures, complications, and associated diagnoses. J Hand Surg 1987; 12A: 540-4.
• 3 Bahm J, Szabo Z, Foucher G. The anatomy of de Quervain’s disease. International orthopaedics 1995; 19: 209-11.
• 4 Clarke MT, Lyall HA, Grant JW, Matthewson MH. The histopathology of de Quervain’s disease. J Hand Surg 1998; 23B: 732-4.
• 5 Evans HE, Christensen GC. eds. Miller’s anatomy of the dog. 2nd ed.. Philadelphia: WB Saunders Co; 1979: 353-65.
• 6 Faithfull DK, Lamb DW. De Quervain’s disease - A clinical review. Hand 1971; 03: 23-30.
• 7 Finkelstein H. Stenosing tendovaginitis at the radial styloid process. J Bone Joint Surg 1930; 12: 509-40.
• 8 Harvey FJ, Harvey PM, Horsley MW. De Quervain’s disease: Surgical or non- surgical treatment. J Hand Surg 1990; 15A: 83-7.
• 9 Jackson WT, Viegas SF, Coon TM, Stimpson KD, Frogameni AD, Simpson JM. Anatomical variations in the first extensor compartment of the wrist. J Bone Joint Surg 1986; 68A: 923-6.
• 10 Johnston DE. Bursitis and tendinitis. In: Bojrab MJ. ed. Disease mechanisms in small animal surgery. 2nd ed.. Philadelphia: Lea & Febiger; 1993: 1089-93.
• 11 McMahon M, Craig SM, Posner MA. Tendon subluxation after de Quervain’s release: Treatment by brachioradialis tendon flap. J Hand Surg 1991; 16A: 30-2.
• 12 Meachim G, Roberts C. The histopathology of stenosing tendovaginitis. J Path 1969; 98: 187-92.
• 13 Minamikawa Y, Peimer CA, Cox WL, Sherwin FS. De Quervain’s syndrome: Surgical and anatomical studies of the fibroosseous canal. Orthopedics 1991; 14: 545-9.
• 14 Moore JS. De Quervain’s tenosynovitis. J Occup Environ Medicine 1997; 39: 990-1002.
• 15 van Oudenaarde E. The function of the abductor pollicis longus muscle as a joint stabiliser. J Hand Surg 1991; 16B: 420-3.
• 16 de Quervain F. Ueber eine Form von chronischer Tendovaginitis. Corresp Blatt Schweiz Aerzte 1895; 25: 389-94.
• 17 Rankin ME, Rankin EA. Injection therapy for management of stenosing tenosynovitis (de Quervain’s disease) of the wrist. J Natl Med Assoc 1998; 90: 474-6.
• 18 Sampson SP, Wisch D, Badalamente MA. Complications of conservative and surgical treatment of de Quervain’s disease and trigger fingers. Hand Clinics 1994; 10: 73-82.
• 19 Weiss APC, Akelman E, Tabatabai M. Treatment of de Quervain’s disease. J Hand Surg 1994; 19A: 595-8.
• 20 White GM, Weiland AJ. Symptomatic palmar tendon subluxation after surgical release for de Quervain’s disease: A case report. J Hand Surg 1984; 9A: 704-6.
• 21 Witt J, Pess G, Gelberman RH. Treatment of de Quervain tenosynovitis. J Bone Joint Surg 1991; 73A: 219-22.
• 22 Woods THE. De Quervain’s disease: A plea for early operation. Br J Surg 1964; 51: 358-9.
• 23 Zingas C, Failla JM, van Holsbeeck M. Injection accuracy and clinical relief of de Quervain’s tendinitis. J Hand Surg 1998; 23A: 89-96.