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De Quervain's tenosynovitis
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> common condition inflammation of sheath containing extensor pollicis brevis and abductor pollicis longus tendons typically females 30 - 50yr years old ''Features'' pain on the radial side of the wrist tenderness over the radial styloid process abduction of the thumb against resistance is painful Finkelstein's test: with the thumb is flexed across the palm of the hand, pain is reproduced by movement of the wrist into flexion and ulnar deviation ''Management'' analgesia steroid injection immobilisation with a thumb splint (spica) may be effective surgical treatment is sometimes required
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Wrist/Hand