Original Research Article Background: de Quervain's disease has been described as an entrapment of the extensor pollicis brevis and abductor pollicis longus tendons in the first dorsal compartment of the wrist is a common cause of wrist and hand pain. Treatment of the disease consist of pharmacological & non-pharmacological. The non-Pharmacological includes immobilization, therapeutic heat and cold, electrical nerve stimulator, thumb stabilizer splint, postural correction at work and the adjustment of tools and equipment. The medication included non-steroidal Anti-inflammatory Drugs (NSAIDs) and analgesic, an injection of a steroid mixed with xylocaine into tendon sheaths. Objective: Main goal of this study is to evaluate the effect of Thumb spica splint in the management of de Quervain disease. Methods: This randomized clinical trial was performed in the Department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, over a period of six months. Study population were the patients of de Quervain’s disease attending the outpatient department of Physical Medicine and Rehabilitation during the study period. Meticulous history taking, clinical examination and relevant investigations were done. Samples was selected by consecutive sampling from the population who are eligible as per inclusion and exclusion criteria from a definite date till desired sample size is reached and eligible participants were allocated into two groups, group A-experimental or interventional group and group B-control group by randomization with the help of lottery. Experimental group was managed by activities of daily living (ADLs) instructions, non-steroidal anti-inflammatory agents (NSAIDs), ultrasound therapy (UST), along with Thumb spica splint. Control group received previous management except Thumb spica splint. Here Tynor brand Thumb spica splint was advised to use to all patient in experimental group, same analgesic drugs Tab. Naproxen 250mg two times daily after meal was given to all patients along with proton pump inhibitors till acute condition was subside and all patients receive therapeutic ultrasound in a same dosage (1watt/ cm 2 /min) for 510minutes. So, there were six follow up visits and these evaluations were performed by the same investigator. In each visit, measurement of pain intensity and disability level were performed by using visual analogue scale (VAS), Tenderness Index and Patient rated wrist evaluation (PRWE) respectively. Results: There were 92.7% patients who had localized pain and only 7.3% had radiation. Most of the pain in the evening (56.4%) and rest had pain at night (43.6%). Most of the patients in both groups had constant and intermittent type of pain (47.5% and 45.5%) other types were sharp and dull. All patients in both groups had some aggravating factor but relieving factors were less (45.45%). Significant difference between Group A and Group B was found at week 5 and Week 6 follow up(P<0.05) whereas other early follow up was non-significant in VAS analysis(p>0.05). Significant difference between Group A and Group B was found at week 4, week 5 and week 6 follow up(P<0.05) regarding change of tender index in Group A then Group B. No significant difference between Group A and Group B was found at different weeks of follow up (P>0.05) regarding PRWE. Conclusions: Regarding treatment of de Quervain's tenosynovitis, present study shown that use of Thumb spica splint reduce the morbidity and relief of pain of patients when used along with other conventional treatment.

/pdf/effect-of-thumb-spica-splint-in-de-quervain-s-disease-46ulin0nb7.pdf

Effect of Thumb Spica Splint in de Quervain’s Disease

De Quervain syndrome is an inflammation of tendon sheath in synovial sheath covering extensor pollicis brevis and abductor pollicis longus accompanied with pain. Diagnosis can be made by general practitioner based on patient’s history, clinical findings and proper maneuver. The aim of this study is to describe the specialist competencies that can be diagnosed by general practitioners using specific examinations.&#x0D; Keywords : De Quervain syndrome, diagnosis, maneuver 

pdf/case-report-de-quervain-s-syndrome-specialistic-competency-989huu54sj.pdf

Case report : de quervain's syndrome “specialistic competency that is easily diagnosed by general practitioners”

De Quervain’s tenosynovitis is a common cause of wrist pain in adults. It is characterised by atraumatic pain or tenderness along the radial side of the wrist and is often associated with overuse o...

De Quervain's tenosynovitis:

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De Quervain's tenosynovitis: