Métodos diagnósticos y terapéuticos de la tenosinovitis de quervain

Abstract

Quervain's tenosynovitis, also called Quervain's stenosing tenosynovitis, named after the Swiss surgeon Fritz De Quervain, who first described it in 1895. This disease affects the extensor pollicis brevis tendons of the thumb and abductor pollicis longus, is a common condition of the wrist, which occurs with a prevalence of 0.5% in men and 1.3% in women with a higher frequency of presentation in the range of 40 and 50 years of age. Objective: To describe the different types of diagnostic and therapeutic methods of Quervain's tenosynovitis through a review of the literature in order to update the existing information for the benefit of health professionals. Methodology: A descriptive, retrospective study was carried out through the review of 15 bibliographies obtained from databases such as Pubmed, Scielo, Cochrane and academic Google of the last 5 years, in addition to the use of the Scimago tool for checking the quartile of the articles used. Conclusion: The diagnosis of Quervain's tenosynovitis is made through clinical and physical examination by means of several tests such as Finkelstein, Eichhoff, WHAT, and ultrasound is also useful. Among the most widely used therapies are conservative methods such as local ice, massage, physical therapy, another method is non-surgical which includes kerosene baths, injection of corticosteroids blindly or guided by ultrasound and thumb splinting and in recurrent cases surgical treatment is used.