PDF(Pubmed)
Abstract：
De Quervain\'s tenosynovitis is characterized by swelling of muscles (abductor pollicis longus (APL) and extensor pollicis (EPB) brevis), and they are located at the base of the thumb. This is a very irritating and painful condition. In many cases, late detection causes an increase in inflammation, and due to prolonged ignorance and neglect, the patient suffers from pain and discomfort that affects and restricts their daily routine work. The disorder tenosynovitis is triggered by preexisting tendon degeneration induced by excessive twisting actions. Inflammatory arthritis is primarily associated with the disorder. The tendon sheath thickens and becomes constricted if the inflammation and swelling persist. Patients who undergo high-torque wrist turning or other repetitive everyday movements, such as handshaking, have a higher risk of developing tenosynovitis. This disease can also occur without any sort of visible prior trauma or injury. Clinical evaluation is usually required for diagnosis; however, imaging studies might be used to confirm the diagnosis or check out alternate diseases. Nonsteroidal anti-inflammatory medication (NSAIDs), physical therapy, immobilization with splints, and rest are among the treatment options. Applying ice to the affected area and applying a splint are a few ways to ease the pain. Corticosteroid injections or surgery may be considered in situations that do not respond to preventive treatment; thus, patients are advised to go for minor surgery to get relief from prolonged pain.
摘要：
DeQuervain的腱鞘炎的特征是肌肉肿胀（长肌外展肌（APL）和短肌伸肌（EPB）），它们位于拇指的底部。这是一个非常刺激和痛苦的状况。在许多情况下,晚期检测会导致炎症增加，由于长期的无知和忽视，患者遭受疼痛和不适，影响并限制了他们的日常工作。该疾病是由过度扭曲动作引起的预先存在的肌腱变性引发的。炎性关节炎主要与该病症有关。如果炎症和肿胀持续，肌腱鞘会变厚并收缩。接受高扭矩手腕转动或其他重复日常运动的患者，比如握手，患腱鞘炎的风险更高。这种疾病也可以在没有任何可见的先前创伤或损伤的情况下发生。诊断通常需要进行临床评估；然而，影像学检查可用于确认诊断或检查其他疾病。非甾体抗炎药（NSAIDs），物理治疗,用夹板固定，休息是治疗选择之一。在受影响的区域涂冰和使用夹板是减轻疼痛的几种方法。在对预防性治疗没有反应的情况下，可以考虑进行皮质类固醇注射或手术；因此，建议患者进行小手术，以缓解长期疼痛。
