Tenosynovitis
Condition
(Synovitis)
Definition
Tenosynovitis is an inflammation of the tissue that covers a tendon. Tendons are cords that connect bones to muscles. Tenosynovitis is most common in the hand, wrist, and foot.
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Causes
Common causes of tenosynovitis are:
- Injury
- Infection
- Strain
- Repetitive motions
Risk Factors
Things that may raise the risk of tenosynovitis are:
- Jobs, sports, or activities that involve repetitive motion
- Diseases that cause inflammation, such as gout and rheumatoid arthritis
Symptoms
Problems may be swelling and pain, especially with motion.
Diagnosis
The doctor will ask about symptoms and health history. A physical exam will be done. It will focus on the painful tendon. This is often enough to make the diagnosis. Pictures may be done to confirm it.
A blood test may also be done to look for signs of infection.
Treatment
The goal of treatment is to ease pain and swelling. This will make it easier to move. Options may be:
- A brace or splint to prevent motion
- Exercises to help with strength, flexibility, and range of motion
- Medicine to ease pain and swelling
- Antibiotics to treat any infection
Prevention
To lower the risk of tenosynovitis:
- Take breaks from activities.
- Adjust workspaces to minimize the strain on joints.
Surgery
Surgery may be done if other methods do not help. The surgery will release the tendon and allow it to move freely.
Surgery
Surgery may be done if other methods do not help. The surgery will release the tendon and allow it to move freely.
American Society for Surgery of the Hand
OrthoInfo—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Foundation
Health Canada
American Society for Surgery of the Hand
OrthoInfo—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Foundation
Health Canada
References
- De Quervain tendonitis. Ortho Info—American Academy of Orthopedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/de-quervains-tendinosis.
- De Quervain tenosynovitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/de-quervain-tenosynovitis-17.
Contributors
- Warren A. Bodine, DO, CAQSM
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