What is the role of wrist arthrocentesis in the management of De Quervain tenosynovitis?

Updated: Nov 03, 2020
  • Author: Richard S Krause, MD; Chief Editor: Erik D Schraga, MD  more...
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Answer

De Quervain tenosynovitis, a common overuse syndrome involving the tendons at the radial aspect of the anatomic snuff box, is often helped by local injection of the tendon sheath. [7]

After examination, the area of most tenderness along the course of the tendon should be marked, and the needle should be inserted either proximally or distally, directed almost parallel to the skin. As the needle is advanced, 0.5 mL of steroid with 0.5-2 mL of lidocaine can be injected along the tendon sheath, and a palpable bulge is usually felt along the tendon.


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