MCQ MAHE 2000 Orthopedics Answer 06

The Correct Answer is A

De Quervain’s disease is a hand and wrist disorder with chronic tenosynovitis due to a narrowing process in the tendon sheaths around abductor pollicis longus and extensor pollicis brevis.

The classic paper describing the natural history, symptomatology, pathology and etiology of stenosing tenovaginatis of the first dorsal compartment was published by Fritz de Quervain in 1895. In fact Dr. de Quervains credits Dr. Kocher with the description of the disease and its first surgical treatment.

The pain can be exaggerated by simultaneous flexion of the thumb and ulnar deviation of the wrist . This maneuver forms the basis for the Finkelstein test. Another manner to perform this test is to grasp the patient’s thumb within the palm and ulnarly deviate the wrist to elicit pain . There are several other causes of radial sided wrist pain that can be exacerbated with an ulnar deviation and a Finkelstein test, most commonly arthritis of the thumb carpometacarpal (CMC) joint, Intersection and Wartenberg syndromes .

Category: MAHE 2000 MCQs