De Quervain’s disease (etiology, pathogenesis, diagnosis and treatment). Part I

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Abstract

De Quervain’s disease, despite its low prevalence, is accompanied by pain syndrome, dysfunction and a decrease in the strength of the hand. This leads to a significant decrease in the quality of life of the patient, disruption of his work and daily activities. Patients with de Quervain’s disease, make up a significant part of those who turn to orthopedists, surgeons, rehabilitation doctors. However, the individual features of the structure of the first back canal of each person, formed in the process of phylogenesis, the lack of data on the exact cause of the disease cause the complexity of diagnosis and treatment of the disease. In the first part of the lecture, devoted to de Quervain’s disease, modern literature data concerning the features of the anatomical structure of the first back canal, the etiology and pathogenesis of the disease are summarized. It also presents a description of the clinical picture of de Quervain’s disease, tests and instrumental methods of diagnosis, the algorithm of examination of the patient with this pathology.

About the authors

A. V. Novikov

Volga research medical University of the Ministry of health of Russia

Author for correspondence.
Email: novik2.55@mail.ru

PhD, MD, chief researcher of the consultative and rehabilitation Department Of the University clinic

Russian Federation, Nizhny Novgorod

M. A. Shchedrina

Volga research medical University of the Ministry of health of Russia

Email: novik2.55@mail.ru

PhD, senior researcher of Advisory and rehabilitation Department of the University hospital 

Russian Federation, Nizhny Novgorod

S. V. Petrov

Volga research medical University of the Ministry of health of Russia

Email: novik2.55@mail.ru

PHd, Md, leading practical assistant microsurgical Department Of the University hospital

Russian Federation, Nizhny Novgorod

References

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Supplementary files

Supplementary Files
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2. Fig. 1. Anatomical structure of the first posterior bone-fibrous canal (according to [8]). 

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3. Fig. 2. «Anatomical snuffbox».

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4. Fig. 3. The terminal branches of the superficial branch of the radial nerve (according to [8]).

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5. Fig. 4. A simplified scheme of the pathogenesis of de Quervain’s disease.

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6. Fig. 5. The technique of Finkelstein test.

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7. Fig. 6. General scheme of examination of a patient with de Quervain’s disease.

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