De Quervain`s disease: evaluation by high resolution ultrasonography

Abhishek Das, Prabhu B. J.


Background: De Quervain's tenosynovitis is a stenosing tenosynovitis of the first extensor compartment of wrist and leads to wrist pain and impaired function of wrist and hand.  The aim of this study is to evaluate the role of high resolution ultrasonography in diagnosing suspected cases of de Quervain’s tenosynovitis and also to evaluate the role of high resolution ultrasonography in detecting the anatomical variants of the first extensor compartment which are predisposing conditions for de Quervain’s tenosynovitis.

Methods: A prospective study of 15 consecutive cases who were referred with clinical diagnosis of de Quervain`s disease was done with ultrasonography in the department of Radio-diagnosis and findings were carefully analysed.

Results: Thickened extensor retinaculum over the first extensor compartment was found in all the cases. Mean thickness of the thickened retinaculum is 1.65 mm. In 60% of cases multiple slips of APL tendon were found.

Conclusions: From the study, we conclude that extensor retinaculum thickening is a common finding in de Quervain`s disease.


De Quervain's tenosynovitis, High resolution ultrasonography

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Moore JS. De Quervain’s tenosynovitis. Stenosing tenosynovitis of the first dorsal compartment. J Occup Environ Med. 1997;39:990-1002.

Ilyas AM, Ast M, Schaffer AA, Thoder J. De quervain tenosynovitis of the wrist. J Am Academy Orthopaedic Surg. 2007;15(12):757-64.

Finkelstein H. Stenosing tendovaginitis at the radial styloid process. J Bone Joint Surg Am 1930;12:509-40.

Bahm J, Szabo Z, Foucher G. The anatomy of de Quervain’s disease: a study of operative findings. Int Orthop. 1995;19(4):209-11.

Gonzalez MH, Sohlberg R, Brown A, Weinzweig N. The first dorsal extensor compartment: an anatomic study. J Hand Surg Am. 1995;20(4):657-60.

Jackson WT, Viegas SF, Coon TM, Stimpson KD, Frogameni AD, Simpson JM. Anatomical variations in the first extensor compartment of the wrist. A clinical and anatomical study. J Bone Joint Surg Am. 1986;68(6):923-6 .

Bianchi S, Martinoli C. Wrist. Ultrasound of the Musculoskeletal system. Springer-Verlag Berlin Heidelberg; 2007:449-52.

Clarke Mt, Lyall HA, Grant JW, Matthewson MH. The histology of the De Quervain`s disease. J Hand Surg Br. 1998;23(6):732-4

Wolf JM, Sturdivant RX, Owens BD. Incidence of de Quervain’s tenosynovitis in a young, active population. J Hand Surg Am. 2009;34(1):112-5.

Anderson SE, Steinbach LS, De Monaco D, Bonel HM, Hurtienne Y, Voegelin. Am J Roentgenol. 2004:182:719-24.

Ribes R, Vilanova JC. Learning Musculoskeletal Imaging. Chapter 7, Elbow, Hand, and Wrist by Juan de Dios Berna, Ana Canga, and Luis Cerezal, Case 7.6 De Quervain Tenosynovitis. Springer-Verlag Berlin Heidelberg; 2010:147.

Dawson C, Mudgal CS. Staged description of the Finkelstein test. J Hand Surg Am. 2010;35(9):1513-5.

Lee KH, Kang CN, Lee BG, Jung WS, Kim DY, Lee CH. Ultrasonographic evaluation of the first extensor compartment of the wrist in de Quervain’s disease. J Orthop Sci. 2014;19:49-54.

Nagaoka M, Matsuzaki H, Suzuki T. Ultrasonographic examination of de Quervain's disease. J Orthop Sci. 2000;5(2):96-9.

Leslie BM, Ericson WB, Morehead JR. Incidence of a septum within the first dorsal compartment of the wrist. J Hand Surg Am. 1990;15:88-91.

De Muynck M, Parlevliet T, De CockK, Vanden BL, Vanderstraeten G, Özçakar L. Musculoskeletal ultrasound for interventional physiatry. Eur J Phys Rehabil Med. 2012;48(4):675-8

Tekin L, Tok F, Ozcakar L. Ultrasound-guided corticosteroid injection for the treatment of de Quervain’s tenosynovitis. Am J Phys Med Rehabil. 2014;93:277.

Dogra VS, Gaitini D. Musculoskeletal Ultrasound with MRI Correlations. Thieme; ISBN 978-1-60406-244-1, Chapter 3 Imaging of the Wrist, Ximena Wortsman and Patricio Azocar; 2010:48.