Tenosynovitis of De Quervain

Tenosynovitis is an inflammation of one or more tendons and the surrounding sheath. Repeated friction and micro-trauma, especially during professional practice, are responsible for inflammation. The pain is located at the wrist and can radiate along the forearm.

Inflammation may occur suddenly but most often it appears progressively. The repetition of the gestures becomes painful and causes swelling of the tendons inside their sheath which is not extensible.

Your surgeon will perform various mobilization maneuvers during the clinical examination in order to test the tendons and the mobility of the wrist. Additional tests such as ultrasound may be useful for diagnosis.

Inquire in advance in order to perform the most suitable examination.

Treatment options

Medical Treatment

In first instance, pain and inflammation can be controlled by prescribing analgesics and anti-inflammatories and, if necessary, cortisone infiltrations. In addition, resting of the joint and the wearing of a rest splint (orthosis) are advised.

If it is well conducted, medical treatment generally provides good results. However, in case of persistent pain, surgery may be offered.

Surgical Treatment

The Intervention of De Quervain is quite simple and consists in making a small incision in order to open the sheath that compresses the tendons.

At the Bordeaux-Merignac Sport Clinic, this procedure is performed as an outpatient basis