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de Quervain tendinopati

Publisert:
Sist revidert av:
Definisjon:
 Senebetennelse i håndleddsregionen
Forekomst:
 Ikke uvanlig
Symptomer:
 Smerter og nedsatt funksjon ved visse bevegelser, særlig relatert til tommelen
Funn:
 Smerteprovokasjon ved isometrisk kontraksjon av den eller de aktuelle sener
Diagnostikk:
 Røntgen kan noen ganger være aktuelt for å utelukke annen sykdom
Behandling:
 Avlastning, NSAIDs, kortisoninjeksjoner, fysioterapi, ev. kirurgi
  1. Boggess BR. Evaluation of the adult with subacute or chronic wrist pain. UpToDate, last updated Nov 10, 2020. UpToDate  
  2. Aggarwal R, Ring D. de Quervain tendinopathy. UpToDate, last updated Jan 02, 2020. UpToDate  
  3. Wolf JM, Sturdivant RX, Owens BD. Incidence of de Quervain's tenosynovitis in a young, active population. J Hand Surg Am 2009; 34: 112-5. PubMed  
  4. Kulthanan T, Chareonwat B. Variations in abductor pollicis longus and extensor pollicis brevis tendons in the Quervain syndrome: a surgical and anatomical study. Scand J Plast Reconstr Surg Hand Surg 2007; 41: 36-8. PubMed  
  5. Valdes K, LaStayo P. The value of provocative tests for the wrist and elbow: a literature review. J Hand Ther 2013; 26:32. PubMed  
  6. Sato J, Ishii Y, Noguchi H. Clinical and ultrasound features in patients with intersection syndrome or de Quervain's disease. J Hand Surg Eur Vol 2016; 41:220. PubMed  
  7. Ilyas AM. Nonsurgical treatment for de Quervain's tenosynovitis. J Hand Surg Am 2009; 34:928. PubMed  
  8. Menendez ME, Thornton E, Kent S, et al. A prospective randomized clinical trial of prescription of full-time versus as-desired splint wear for de Quervain tendinopathy. Int Orthop 2015; 39:1563. PubMed  
  9. Mazieres B, Rouanet S, Guillon Y, Scarsi C, Reiner V. Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study. J Rheumatol 2005; 32: 1563-70. PubMed  
  10. Ashraf MO, Devadoss VG. Systematic review and meta-analysis on steroid injection therapy for de Quervain's tenosynovitis in adults. Eur J Orthop Surg Traumatol 2014; 24: 149-57. PMID: 23412309 PubMed  
  11. Peters-Veluthamaningal C, van der Windt DA, Winters JC, Meyboom-de Jong B. Corticosteroid injection for de Quervain's tenosynovitis. Cochrane Database Syst Rev 2009; :CD005616. Cochrane (DOI)  
  12. Mehdinasab SA, Alemohammad SA. Methylprednisolone acetate injection plus casting versus casting alone for the treatment of de Quervain's tenosynovitis. Arch Iran Med 2010; 13:270. PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim