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Trigger Thumb
(redirected from De Quervain's Tenosynovitis)

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Trigger Thumb
A congenital fixed flexion deformity of the thumb, due to a narrowed flexor pollicus longus tendon sheath in the region of the metacarpophalangeal joint, or due to a focal expansion of the tendon
Aetiology Idiopathic; it is more common in patients with diabetes, osteoarthritis, and in a background of tenosynovial proliferation:inflammatory arthritis, gout, or chronic infection (eg, fungus or atypical mycobacteria). It may present at birth or be acquired and, if severe, require surgical correction—e.g., with miniscalpel-needle percutaneous release


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Symmetrical hypopigmentation following triamcinolone injection for de Quervain's tenosynovitis.
The condition, de Quervain's tenosynovitis, occurred in the right hand of the female data clerk, who later developed associated depression.
De Quervain's tenosynovitis must be carefully ruled out, but can exist concomitantly.
 
 
 
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