The Hand Patient: De Ouervain Stenosing Tenosynovitis

Abstract

RE:YOUR PATIENT WITH PAIN IN THE THUMB AND HARD NODULE ON THE RADIAL SIDE OF THE WRIST Thank you for the referral of Ms D Q, 24 year old right handed data processor who has been complaining of a painful right thumb, inability to extend the thumb and a hard nodule on the radial side of her right wrist for the last 6 months. This condition started spontaneously with no history of injury or overuse. lt impinges on her work when she uses the keyboard and has difficulty in lifting heavy objects such as files. Things tend to fall out of her hand.