(4) TABLE 3 Lane classification of de Quervain's disease: A useful guide for Tx decisions (34) Type 1 (mild) Type 2 (moderate) Finkelstein's test Minimally + Mild pain + Pain with ADLs A few ADLs affected Mild interference with some ADLs Tenderness over Minimal Moderate first dorsal compartment Swelling None Mild Type 3 (severe) Finkelstein's test Clearly + Pain with ADLs Moderate to severe interference with nearly all ADLs Tenderness over Moderate/severe first dorsal compartment Swelling Moderate ADLs, activities of daily living.
De Quervain's disease commonly occurs during and after pregnancy.
In a retrospective analysis, Lane et al concluded that classification of patients with de Quervain's disease based on pretreatment symptoms may assist physicians in selecting the most efficacious treatment and in providing prognostic information to their patients (table 3 (34)).
Neovascularisation in de Quervain's disease of the wrist: novel combined therapy using sclerosing therapy with polidocanol and eccentric training of the forearms and wrists-a pilot report.
Occurrence of de Quervain's disease in postpartum women.
Complications of conservative and surgical treatment of de Quervain's disease and trigger fingers.
Wrist radial deviation and thumb extension may be risk factors for de Quervain's disease
(31,33) Anatomical variations may predispose patients to having De Quervain's disease or make certain treatments more challenging to perform and succeed with.
(41) The results of this case may suggest that conservative treatment may be useful in treating De Quervain's disease before more invasive procedures are pursued.
Reliability and validity of pinch and thumb strength measurements in de Quervain's disease. J Hand Ther.
The diagnosis of de Quervain's disease is generally made clinically and is rarely confused with other diagnoses.
Although the majority of patients with de Quervain's disease are likely to present to primary care physicians, all previously reported series of patients have been submitted by surgeons.