{"id":5209,"date":"2023-03-18T06:05:01","date_gmt":"2023-03-18T06:05:01","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/de-quervains-tenosynovitis-fr\/"},"modified":"2023-04-10T19:58:14","modified_gmt":"2023-04-10T19:58:14","slug":"de-quervains-tenosynovitis-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/de-quervains-tenosynovitis-fr\/","title":{"rendered":"La t\u00e9nosynovite de De Quervain"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>\u00c9diteurs originaux <\/b>&#8211; <a title=\"User:Elizabeth Dallas\" href=\"\/User:Elizabeth_Dallas\">Elizabeth Dallas<\/a>, <a title=\"User:Boris Alexandra\" href=\"\/User:Boris_Alexandra\">Boris Alexandra<\/a>, <a title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"> Robin Tacchetti<\/a><\/p>\n<p><b>Principaux contributeurs<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:John Winkelhaus\" href=\"\/User:John_Winkelhaus\"><bdi>John Winkelhaus<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:David Cameron\" href=\"\/User:David_Cameron\"><bdi>David Cameron<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:John Fite\" href=\"\/User:John_Fite\"><bdi>John Fite<\/bdi><\/a>, <a class=\"mw-userlink mw-anonuserlink\" title=\"Special:Contributions\/Robin Leigh Tacchetti\" href=\"\/Special:Contributions\/Robin_Leigh_Tacchetti\"><bdi>Robin Leigh Tacchetti<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Laura Ritchie\" href=\"\/User:Laura_Ritchie\"><bdi>Laura Ritchie<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Boris Alexandra\" href=\"\/User:Boris_Alexandra\"><bdi>Boris Alexandra<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Aurelie Canas Perez\" href=\"\/User:Aurelie_Canas_Perez\"><bdi>Aurelie Canas Perez<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Julie Schuermans\" href=\"\/User:Julie_Schuermans\"><bdi>Julie Schuermans<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Elizabeth Dallas\" href=\"\/User:Elizabeth_Dallas\"><bdi>Elizabeth Dallas<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Redisha Jakibanjar\" href=\"\/User:Redisha_Jakibanjar\"><bdi>Redisha Jakibanjar<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Corin Arundale\" href=\"\/User:Corin_Arundale\"><bdi>Corin Arundale<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Rachael Lowe\" href=\"\/User:Rachael_Lowe\"><bdi>Rachel Lowe<\/bdi><\/a> , <a class=\"mw-userlink\" title=\"Utilisateur:WikiSysop\" href=\"\/User:WikiSysop\"><bdi>WikiSysop<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Arturo Quiroz Marnef\" href=\"\/User:Arturo_Quiroz_Marnef\"><bdi>Arturo Quiroz Marnef<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kai A. Sigel\" href=\"\/User:Kai_A._Sigel\"><bdi>Kai A. Sigel<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Claire Knott\" href=\"\/User:Claire_Knott\"><bdi>Claire Knott<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Anas Mohamed\" href=\"\/User:Anas_Mohamed\"><bdi>Anas Mohamed<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Chrysolite Jyothi Kommu\" href=\"\/User:Chrysolite_Jyothi_Kommu\"><bdi>Chrysolite Jyothi Kommu<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Evan Thomas\" href=\"\/User:Evan_Thomas\"><bdi>Evan Thomas<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Naomi O'Reilly\" href=\"\/User:Naomi_O%27Reilly\"><bdi>Naomi O&rsquo;Reilly<\/bdi><\/a> &#8211; <a title=\"User:Corin Arundale\" href=\"\/User:Corin_Arundale\">Corin Arundale<\/a>, <a title=\"User:David Cameron\" href=\"\/User:David_Cameron\">David Cameron<\/a>, <a title=\"User:John Fite\" href=\"\/User:John_Fite\">John Fite<\/a>, <a title=\"User:Bryan Purkey\" href=\"\/User:Bryan_Purkey\">Bryan Purkey<\/a>, <a title=\"User:John Winkelhaus\" href=\"\/User:John_Winkelhaus\">John Winkelhaus<\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition.2FDescription\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">D\u00e9finition\/Description<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Aetiology\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\"><b>\u00c9tiologie<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Relevant_Clinical_Anatomy\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Anatomie clinique pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Epidemiology\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">\u00c9pid\u00e9miologie<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Diagnostic diff\u00e9rentiel<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Pr\u00e9sentation clinique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Examination\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">\u00c9valuation<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#History\"><span class=\"tocnumber\">6.1.1<\/span> <span class=\"toctext\">Historique<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">6.1.2<\/span> <span class=\"toctext\"><b>Examen physique<\/b><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Treatment_Tiers\"><span class=\"tocnumber\">6.2<\/span> <span class=\"toctext\">Niveaux de traitement<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Non-Surgical_Treatment\"><span class=\"tocnumber\">6.3<\/span> <span class=\"toctext\">Traitement non chirurgical<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Surgical_Treatment\"><span class=\"tocnumber\">6.4<\/span> <span class=\"toctext\">Traitement chirurgical<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Physical_Therapy_Management\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Traitement physioth\u00e9rapeutique<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Red_Flags\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Drapeaux rouges<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-15\"><a href=\"#Conclusion\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Conclusion<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Definition\/Description\"><\/span><span id=\"Definition.2FDescription\" class=\"mw-headline\">D\u00e9finition\/Description<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Definition\/Description\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Definition\/Description\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 252px;\"><a class=\"image\" href=\"\/File:Snuff_box.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Snuff_box.png\/250px-Snuff_box.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Snuff_box.png\/375px-Snuff_box.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Snuff_box.png\/500px-Snuff_box.png 2x\" alt=\"Snuff box.png\" width=\"250\" height=\"228\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Tabati\u00e8re anatomique<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La t\u00e9nosynovite de De Quervain est une affection douloureuse et inflammatoire des tendons situ\u00e9s sur le c\u00f4t\u00e9 du poignet, \u00e0 la base du pouce. La douleur, qui est la principale plainte, s&rsquo;aggrave avec l&rsquo;abduction du pouce, la pr\u00e9hension avec la main et la d\u00e9viation cubitale du poignet. Un \u00e9paississement et un gonflement peuvent \u00e9galement \u00eatre pr\u00e9sents. <sup id=\"cite_ref-thomas_1-0\" class=\"reference\"><a href=\"#cite_note-thomas-1\">(1)<\/a><\/sup> <sup id=\"cite_ref-Ashurst_2-0\" class=\"reference\"><a href=\"#cite_note-Ashurst-2\">(2)<\/a><\/sup><sup id=\"cite_ref-Gonzalez-Inglesias_3-0\" class=\"reference\"><a href=\"#cite_note-Gonzalez-Inglesias-3\">(3)<\/a><\/sup><\/p>\n<h2><span id=\"Aetiology\" class=\"mw-headline\"><b>\u00c9tiologie<\/b><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>La cause la plus fr\u00e9quente est la surutilisation chronique.<\/li>\n<li>Des activit\u00e9s telles que le golf, le piano, la p\u00eache \u00e0 la mouche, la menuiserie ou les activit\u00e9s d&#8217;employ\u00e9s de bureau et de musiciens peuvent entra\u00eener des l\u00e9sions chroniques de surmenage \u00e0 cet endroit.<\/li>\n<li>La population de patients classique est celle des m\u00e8res de nouveau-n\u00e9s qui soul\u00e8vent leur b\u00e9b\u00e9 de fa\u00e7on r\u00e9p\u00e9t\u00e9e avec les pouces en abduction radiale et les poignets passant d&rsquo;une d\u00e9viation cubitale \u00e0 une d\u00e9viation radiale.<\/li>\n<li>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Dequervains_anatomy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f2\/Dequervains_anatomy.jpg\/300px-Dequervains_anatomy.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f2\/Dequervains_anatomy.jpg\/450px-Dequervains_anatomy.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f2\/Dequervains_anatomy.jpg\/600px-Dequervains_anatomy.jpg 2x\" alt=\"\" width=\"300\" height=\"174\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Anatomie de la t\u00e9nosynovite de De Quervain<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La pr\u00e9hension r\u00e9p\u00e9titive d&rsquo;objets peut provoquer une inflammation des tendons et des gaines tendineuses, ce qui r\u00e9tr\u00e9cit le premier compartiment dorsal et limite le mouvement des tendons. En l&rsquo;absence de traitement, l&rsquo;inflammation et le r\u00e9tr\u00e9cissement progressif (st\u00e9nose) peuvent entra\u00eener une cicatrisation qui limite davantage le mouvement du pouce. <sup id=\"cite_ref-Ashurst_2-1\" class=\"reference\"><a href=\"#cite_note-Ashurst-2\">(2)<\/a><\/sup><sup id=\"cite_ref-Gonzalez-Inglesias_3-1\" class=\"reference\"><a href=\"#cite_note-Gonzalez-Inglesias-3\">(3)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>La t\u00e9nosynovite de De Quervain a \u00e9t\u00e9 \u00ab\u00a0attribu\u00e9e \u00e0 une d\u00e9g\u00e9n\u00e9rescence myxo\u00efde (processus au cours duquel les tissus conjonctifs sont remplac\u00e9s par une substance g\u00e9latineuse) avec des d\u00e9p\u00f4ts de tissus fibreux et une vascularisation accrue plut\u00f4t qu&rsquo;\u00e0 une inflammation aigu\u00eb de la membrane synoviale\u00a0\u00bb.<sup id=\"cite_ref-:0_4-0\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> C&rsquo;est pour cette raison que l&rsquo;on pense qu&rsquo;il s&rsquo;agit d&rsquo;une tendinose plut\u00f4t que d&rsquo;une tendinite.<sup id=\"cite_ref-:2_5-0\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup> Ce d\u00e9p\u00f4t de tissus fibreux entra\u00eene un \u00e9paississement de la gaine du tendon, ce qui peut coincer les tendons du <a class=\"mw-redirect\" title=\"Abductor pollicis longus\" href=\"\/Abductor_pollicis_longus\">long abducteur du pouce<\/a> et du <a title=\"Extensor Pollicis Brevis\" href=\"\/Extensor_Pollicis_Brevis\">court extenseur du pouce<\/a> et ainsi provoquer des douleurs.<\/li>\n<\/ul>\n<h2><span id=\"Relevant_Clinical_Anatomy\" class=\"mw-headline\">Anatomie clinique pertinente <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Relevant Clinical Anatomy\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=3\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Relevant Clinical Anatomy\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=3\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le syndrome de De Quervain affecte les tendons du <a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Extensor_Pollicis_Brevis\" rel=\"nofollow\">court extenseur du pouce<\/a> du <a class=\"mw-redirect\" title=\"Abductor pollicis longus\" href=\"\/Abductor_pollicis_longus\">long abducteur du pouce<\/a>. Ces muscles sont situ\u00e9s sur la face dorsale de l&rsquo;avant-bras et se rendent \u00e0 la face lat\u00e9rale du pouce par un tunnel fibreux-osseux constitu\u00e9 du processus stylo\u00efde du radius et du <a title=\"Extensor Retinaculum (Wrist)\" href=\"\/Extensor_Retinaculum_(Wrist)\">r\u00e9tinaculum extenseur<\/a>. <sup id=\"cite_ref-Schunke_6-0\" class=\"reference\"><a href=\"#cite_note-Schunke-6\">(6)<\/a><\/sup> Les gaines des tendons du long abducteur et du court extenseur du pouce passent par le tunnel fibro-osseux situ\u00e9 le long de la stylo\u00efde radiale au niveau de la partie distale du poignet.<\/p>\n<ol>\n<li>Court extenseur du pouce\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 502px;\"><a class=\"image\" href=\"\/File:Forearm_muscles.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/70\/Forearm_muscles.png\/500px-Forearm_muscles.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/70\/Forearm_muscles.png\/750px-Forearm_muscles.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/70\/Forearm_muscles.png\/1000px-Forearm_muscles.png 2x\" alt=\"\" width=\"500\" height=\"305\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Anatomie de l&rsquo;avant-bras<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Origine : \u00bd face dorsale du radius, membrane interosseuse<\/li>\n<li>Insertion : base de la phalange proximale du pouce<\/li>\n<li>Fonction :\n<ul>\n<li>Articulation du poignet : d\u00e9viation radiale<\/li>\n<li>Pouce : extension<\/li>\n<\/ul>\n<\/li>\n<li>Innervations : branche interosseuse post\u00e9rieure du <a class=\"mw-redirect\" title=\"Radial nerve\" href=\"\/Radial_nerve\">nerf radial<\/a><\/li>\n<li>Art\u00e8re : interosseuse post\u00e9rieure<\/li>\n<\/ul>\n<\/li>\n<li>Long abducteur du pouce\n<ul>\n<li>Origine : face dorsale du radius et du cubitus, membrane interosseuse<\/li>\n<li>Insertion : base de l&rsquo;os m\u00e9tacarpien<\/li>\n<li>Fonction :\n<ul>\n<li>Articulation du poignet : d\u00e9viation radiale<\/li>\n<li>Pouce : abduction<\/li>\n<\/ul>\n<\/li>\n<li>Innervations : branche interosseuse post\u00e9rieure du nerf radial<\/li>\n<li>Art\u00e8re : interosseuse post\u00e9rieure<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">\u00c9pid\u00e9miologie<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Epidemiology\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Epidemiology\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>La pr\u00e9valence est estim\u00e9e \u00e0 0,5 % chez les hommes et \u00e0 1,3 % chez les femmes. Le pic de pr\u00e9valence se situe g\u00e9n\u00e9ralement chez les personnes \u00e2g\u00e9es de 40 \u00e0 50 ans. <sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li>Plus fr\u00e9quente chez les personnes ayant des ant\u00e9c\u00e9dents d&rsquo;<a title=\"Medial Epicondyle Tendinopathy\" href=\"\/Medial_Epicondyle_Tendinopathy\">\u00e9pitrochl\u00e9ite<\/a> ou d&rsquo;<a title=\"Lateral Epicondylitis\" href=\"\/Lateral_Epicondylitis\">\u00e9picondylite<\/a>.<\/li>\n<li>Les nouvelles m\u00e8res ou les pu\u00e9ricultrices ressentent souvent des sympt\u00f4mes bilat\u00e9raux, mais ces sympt\u00f4mes disparaissent g\u00e9n\u00e9ralement lorsque l&rsquo;enfant est lev\u00e9 moins souvent.<sup id=\"cite_ref-:0_4-1\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<li>En milieu industriel, des \u00e9tudes ont montr\u00e9 une pr\u00e9valence ponctuelle de 8 % dans les cas de douleur au poignet et de <a class=\"external text\" href=\"http:\/\/www.physio-pedia.com\/Finkelstein_Test\" rel=\"nofollow\">test de Finkelstein<\/a> positif. <sup id=\"cite_ref-Ashurst_2-2\" class=\"reference\"><a href=\"#cite_note-Ashurst-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Differential_Diagnosis\" class=\"mw-headline\">Diagnostic diff\u00e9rentiel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=5\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=5\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Arthrose de la premi\u00e8re articulation carpom\u00e9tacarpienne (principal diagnostic diff\u00e9rentiel de la t\u00e9nosynovite de De Quervain) <sup id=\"cite_ref-:2_5-1\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup>)<\/li>\n<li>Pouce g\u00e2chette<\/li>\n<li>Syndrome de Wartenberg (n\u00e9vrite superficielle du nerf radial)<\/li>\n<li>Fractures du scapho\u00efde ou de la stylo\u00efde radiale<\/li>\n<li>Syndrome de l&rsquo;intersection<\/li>\n<\/ul>\n<h2><span id=\"Clinical_Presentation\" class=\"mw-headline\">Pr\u00e9sentation clinique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=6\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=6\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Examination\" class=\"mw-headline\">\u00c9valuation<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Examination\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;\u00e9valuation d&rsquo;un patient pr\u00e9sentant des signes et des sympt\u00f4mes de t\u00e9nosynovite de De Quervain commence par une anamn\u00e8se approfondie suivie d&rsquo;un examen physique.<\/p>\n<h4><span id=\"History\" class=\"mw-headline\">Anamn\u00e8se<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: History\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: History\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Wrist_pain.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/Wrist_pain.jpeg\/300px-Wrist_pain.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/Wrist_pain.jpeg\/450px-Wrist_pain.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/95\/Wrist_pain.jpeg\/600px-Wrist_pain.jpeg 2x\" alt=\"\" width=\"300\" height=\"200\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Douleur au poignet<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Blessure de surmenage vs traumatisme aigu<\/li>\n<li>Ant\u00e9c\u00e9dents des sympt\u00f4mes<\/li>\n<li>Mouvements r\u00e9p\u00e9titifs du membre sup\u00e9rieur dans le cadre du travail ou des activit\u00e9s de la vie quotidienne (AVQ)<\/li>\n<li>Dominance de la main<\/li>\n<li>Patiente enceinte ou en phase post-partum<\/li>\n<li>La douleur :\n<ul>\n<li>La plainte principale est une douleur au poignet du c\u00f4t\u00e9 radial (base du pouce et face dorsolat\u00e9rale du poignet pr\u00e8s du processus stylo\u00efde radial) qui irradie vers le haut de l&rsquo;avant-bras lors de la pr\u00e9hension ou de l&rsquo;extension du pouce.<\/li>\n<li>D\u00e9crit comme une \u00ab\u00a0sensation constante de douleur, de br\u00fblure et de tiraillement\u00a0\u00bb.<sup id=\"cite_ref-Walker_8-0\" class=\"reference\"><a href=\"#cite_note-Walker-8\">(8)<\/a><\/sup><\/li>\n<li>Aggrav\u00e9 par des mouvements r\u00e9p\u00e9titifs de soul\u00e8vement, de pr\u00e9hension ou de torsion de la main (comme l&rsquo;ouverture d&rsquo;un couvercle de bocal).<sup id=\"cite_ref-Walker_8-1\" class=\"reference\"><a href=\"#cite_note-Walker-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><span id=\"Physical_Examination\" class=\"mw-headline\"><b>Examen physique<\/b><\/span> <span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=9\">\u00e9dit<\/a> <span class=\"mw-editsection-divider\">|<\/span> <a title=\"Edit section: Physical Examination\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=9\">source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>\u00c0 la palpation, les principales observations significatives sont une sensibilit\u00e9 \u00e0 la base du pouce et\/ou des tendons extenseurs du premier compartiment dorsal du c\u00f4t\u00e9 du pouce et du poignet, en particulier au niveau de l&rsquo;apophyse stylo\u00efde radiale. <sup id=\"cite_ref-Ashurst_2-3\" class=\"reference\"><a href=\"#cite_note-Ashurst-2\">(2)<\/a><\/sup><\/li>\n<li>Gonflement au niveau de la <a title=\"Anatomical snuff box\" href=\"\/Anatomical_snuff_box\">tabati\u00e8re anatomique <\/a> <\/li>\n<li>Diminution de l&rsquo;amplitude du mouvement d&rsquo;abduction \u00e0 l&rsquo;articulation carpom\u00e9tacarpienne (CMC) du premier doigt.<\/li>\n<li>\u00c9paississement palpable des gaines des extenseurs du premier compartiment dorsal et cr\u00e9pitation des tendons sortant de la gaine des extenseurs <sup id=\"cite_ref-Anderson_9-0\" class=\"reference\"><a href=\"#cite_note-Anderson-9\">(9)<\/a><\/sup><\/li>\n<li>Parmi les autres r\u00e9sultats possibles, on peut citer\n<ul>\n<li>Faiblesse et paresth\u00e9sie de la main <sup id=\"cite_ref-Gonzalez-Inglesias_3-2\" class=\"reference\"><a href=\"#cite_note-Gonzalez-Inglesias-3\">(3)<\/a><\/sup><\/li>\n<li>Un test provocateur de <a title=\"Finkelstein Test\" href=\"\/Finkelstein_Test\">Finkelstein<\/a> positif\n<ul>\n<li>Lors de ce test, le pouce est fl\u00e9chi et maintenu dans un poing. Le patient d\u00e9vie activement le poignet vers le c\u00f4t\u00e9 cubital. Cela provoque une douleur aigu\u00eb le long du poignet radial au niveau du premier compartiment dorsal.<sup id=\"cite_ref-:0_4-2\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"cr-embed-video thumb embedvideo autoResize\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\"><iframe loading=\"lazy\" class=\"embed-responsive-item\" src=\"\/\/player.vimeo.com\/video\/84104022\" width=\"640\" height=\"493\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"pp-cr-caption\">\n<p>Vid\u00e9o du test de Finkelstein fournie par <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a><\/p>\n<\/div>\n<h3><span id=\"Treatment_Tiers\" class=\"mw-headline\">Niveaux de traitement <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Treatment Tiers\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=10\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Treatment Tiers\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>En g\u00e9n\u00e9ral, il existe trois niveaux de traitement pour la t\u00e9nosynovite de De Quervain <sup id=\"cite_ref-:2_5-2\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup>:<\/p>\n<ul>\n<li>Niveau 1 : Traitement conservateur\n<ul>\n<li>utilisation d&rsquo;une attelle<\/li>\n<li>ultrasons<\/li>\n<li>th\u00e9rapie multimodale de la main<\/li>\n<li>modification des activit\u00e9s<\/li>\n<\/ul>\n<\/li>\n<li>Niveau 2 : Injection de corticost\u00e9ro\u00efdes<\/li>\n<li>Niveau 3 : Chirurgie<\/li>\n<\/ul>\n<p>Les niveaux 1 et 2 peuvent \u00eatre combin\u00e9s en fonction de la pr\u00e9sentation du patient et de sa volont\u00e9 de recevoir une injection de corticost\u00e9ro\u00efdes.<sup id=\"cite_ref-:2_5-3\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/p>\n<h3><span id=\"Non-Surgical_Treatment\" class=\"mw-headline\">Traitement non chirurgical <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Non-Surgical Treatment\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=11\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Non-Surgical Treatment\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;objectif du traitement non chirurgicale est de r\u00e9duire la douleur et le gonflement. Leurs interventions peuvent inclure :<\/p>\n<ul>\n<li>L&rsquo;\u00e9ducation du patient concernant l&rsquo;\u00e9vitement des mouvements r\u00e9p\u00e9titifs ou aggravants <sup id=\"cite_ref-:2_5-4\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>La prise de m\u00e9dicaments anti-inflammatoires non st\u00e9ro\u00efdiens (AINS)<\/li>\n<li>La glace ou la chaleur<\/li>\n<li>La physioth\u00e9rapie <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li>Le port d&rsquo;une attelle pour le pouce\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Dequervain%27s_splint.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/05\/Dequervain%27s_splint.jpeg\/300px-Dequervain%27s_splint.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/05\/Dequervain%27s_splint.jpeg\/450px-Dequervain%27s_splint.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/05\/Dequervain%27s_splint.jpeg\/600px-Dequervain%27s_splint.jpeg 2x\" alt=\"\" width=\"300\" height=\"225\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Attelle de De Quervain<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>La litt\u00e9rature soutient l&rsquo;utilisation d&rsquo;une attelle d&rsquo;avant-bras incluant le pouce pour r\u00e9duire la d\u00e9viation cubitale du poignet et le mouvement du pouce.<sup id=\"cite_ref-:2_5-5\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Les cliniciens ne sont pas d&rsquo;accord sur la fr\u00e9quence et la dur\u00e9e d&rsquo;utilisation de l&rsquo;attelle ; certains pensent qu&rsquo;elle doit \u00eatre port\u00e9e continuellement pendant quatre \u00e0 six semaines ; d&rsquo;autres recommandent de ne la porter qu&rsquo;en cas de besoin pour soulager la douleur.<sup id=\"cite_ref-Harvard_11-0\" class=\"reference\"><a href=\"#cite_note-Harvard-11\">(11)<\/a><\/sup><\/li>\n<li>Weiss et ses coll\u00e8gues<sup id=\"cite_ref-weiss_12-0\" class=\"reference\"><a href=\"#cite_note-weiss-12\">(12)<\/a><\/sup> ont constat\u00e9 qu&rsquo;une am\u00e9lioration de 19 % \u00e9tait observ\u00e9e lors de l&rsquo;utilisation d&rsquo;attelles, mais que lorsque l&rsquo;utilisation d&rsquo;attelles \u00e9tait combin\u00e9e \u00e0 des AINS, l&rsquo;am\u00e9lioration \u00e9tait de 57 %. Cavaleri et al.<sup id=\"cite_ref-:3_7-1\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup> ont rapport\u00e9 que les approches combin\u00e9es orth\u00e8se\/injection de corticost\u00e9ro\u00efdes sont plus efficaces que l&rsquo;une ou l&rsquo;autre intervention seule dans le traitement de la t\u00e9nosynovite de De Quervain.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>On pense que les <a class=\"external text\" href=\"http:\/\/www.physio-pedia.com\/Ultrasound_therapy\" rel=\"nofollow\">ultrasons<\/a> am\u00e9liore les r\u00e9sultats du traitement et l&rsquo;\u00e9chographie peut \u00eatre utilis\u00e9e comme outil de diagnostic dans la prise en charge de la t\u00e9nosynovite de De Quervain. <sup id=\"cite_ref-:4_13-0\" class=\"reference\"><a href=\"#cite_note-:4-13\">(13)<\/a><\/sup>\n<ul>\n<li>McDermott et al.<sup id=\"cite_ref-james_14-0\" class=\"reference\"><a href=\"#cite_note-james-14\">(14)<\/a><\/sup> ont constat\u00e9 que les injections guid\u00e9es par ultrasons \u00e9taient b\u00e9n\u00e9fiques pour la t\u00e9nosynovite de De Quervain. Les r\u00e9sultats sont l\u00e9g\u00e8rement meilleurs que ceux rapport\u00e9s pr\u00e9c\u00e9demment dans la litt\u00e9rature et aucune r\u00e9action ind\u00e9sirable n&rsquo;a \u00e9t\u00e9 signal\u00e9e.<sup id=\"cite_ref-james_14-1\" class=\"reference\"><a href=\"#cite_note-james-14\">(14)<\/a><\/sup><\/li>\n<li>Kume et al.<sup id=\"cite_ref-kume_15-0\" class=\"reference\"><a href=\"#cite_note-kume-15\">(15)<\/a><\/sup> ont constat\u00e9 que les injections guid\u00e9es par ultrasons ciblant le court extenseur du pouce avec septation \u00e9taient plus efficaces que les injections manuelles.<\/li>\n<\/ul>\n<\/li>\n<li>L&rsquo;injection de corticost\u00e9ro\u00efdes s&rsquo;est av\u00e9r\u00e9e efficace. Une ou deux injections suffisent g\u00e9n\u00e9ralement \u00e0 soulager la douleur.\n<ul>\n<li>Si les sympt\u00f4mes ne s&rsquo;am\u00e9liorent pas de mani\u00e8re significative apr\u00e8s deux injections de corticost\u00e9ro\u00efdes, une intervention chirurgicale peut \u00eatre envisag\u00e9e. La chirurgie est g\u00e9n\u00e9ralement pratiqu\u00e9e en ambulatoire et l&rsquo;anesth\u00e9sie peut \u00eatre locale, r\u00e9gionale ou g\u00e9n\u00e9rale.<sup id=\"cite_ref-:0_4-3\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<li>Les patients pr\u00e9sentant des sympt\u00f4mes mod\u00e9r\u00e9s \u00e0 s\u00e9v\u00e8res n\u00e9cessitent g\u00e9n\u00e9ralement des injections de cortisone en association avec le port d&rsquo;attelle.<sup id=\"cite_ref-:2_5-6\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>** Chez les personnes pr\u00e9sentant des sympt\u00f4mes persistants, le traitement non chirurgicale le plus courant comprend : le port d&rsquo;une attelle, l&rsquo;administration d&rsquo;anti-inflammatoires syst\u00e9miques et l&rsquo;injection de corticost\u00e9ro\u00efdes. <sup id=\"cite_ref-:3_7-2\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7) <\/a><\/sup><sup id=\"cite_ref-:4_13-1\" class=\"reference\"><a href=\"#cite_note-:4-13\">(13)<\/a><\/sup> <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<h3><span id=\"Surgical_Treatment\" class=\"mw-headline\">Traitement chirurgical <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Treatment\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=12\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Surgical Treatment\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>La chirurgie est rare et est g\u00e9n\u00e9ralement choisie dans les cas o\u00f9 le traitement non chirurgical a \u00e9chou\u00e9 et o\u00f9 le patient souffre d&rsquo;une inflammation persistante qui affecte ses fonctions. L&rsquo;objectif de l&rsquo;intervention chirurgicale est d&rsquo;ouvrir la couverture du compartiment dorsal pour faire plus de place aux tendons irrit\u00e9s. L&rsquo;ouverture permet de soulager la pression sur les tendons et de r\u00e9tablir le libre glissement des tendons.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Les soins post-op\u00e9ratoires sont g\u00e9n\u00e9ralement simples, avec un simple pansement et aucun soin compliqu\u00e9 de la plaie n&rsquo;est n\u00e9cessaire. Les personnes sont encourag\u00e9es \u00e0 commencer par utiliser la main pour des activit\u00e9s l\u00e9g\u00e8res de la vie quotidienne. Les sutures sont retir\u00e9es au bout de 14 jours et les patients peuvent reprendre leurs activit\u00e9s normales. Un l\u00e9ger gonflement et une sensibilit\u00e9 autour du site chirurgical peuvent \u00eatre pr\u00e9sents pendant quelques mois.<sup id=\"cite_ref-:0_4-4\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Physical_Therapy_Management\" class=\"mw-headline\">Traitement physioth\u00e9rapeutique <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Therapy Management\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=13\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Therapy Management\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=13\">source d&rsquo;\u00e9dition<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><b>Glace ou chaleur<\/b>\n<ul>\n<li>La chaleur peut aider \u00e0 d\u00e9tendre et rel\u00e2cher la musculature tendue, et la glace peut \u00eatre utilis\u00e9e pour soulager l&rsquo;inflammation au niveau de la gaine de l&rsquo;extenseur.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b>Massage<\/b>\n<ul>\n<li>Un massage en profondeur de l&rsquo;\u00e9minence th\u00e9nar peut aider \u00e0 d\u00e9tendre la musculature tendue \u00e0 l&rsquo;origine de la douleur. La technique Graston de mobilisation manuelle des tissus mous, associ\u00e9e \u00e0 des exercices excentriques, est \u00e9galement utile. Cette technique consiste \u00e0 \u00e9liminer les restrictions li\u00e9es au fascia, \u00e0 \u00e9tirer le tissu conjonctif et \u00e0 favoriser un meilleur environnement de gu\u00e9rison.<sup id=\"cite_ref-:1_18-0\" class=\"reference\"><a href=\"#cite_note-:1-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/8-pjnTwX45s?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<ul>\n<li><b>Renforcement musculaire<\/b><\/li>\n<\/ul>\n<p>La progression de la th\u00e9rapie par l&rsquo;exercice est la suivante : <sup id=\"cite_ref-:2_5-7\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Isom\u00e9trique<\/li>\n<li>Excentrique<\/li>\n<li>Amplitude int\u00e9rieure concentrique<\/li>\n<li>P\u00e2te \u00e0 modeler Theraputy<\/li>\n<li>Exercises de glissement du nerf radial<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<\/li>\n<\/ul>\n<p>Les patients peuvent commencer \u00e0 faire des exercices de renforcement d\u00e8s que leur douleur est devenue supportable. Le programme de renforcement doit \u00eatre graduel et tr\u00e8s progressif. Ne faites progresser les patients dans le programme de renforcement que s&rsquo;ils sont capables de tol\u00e9rer leur programme de renforcement actuel pendant au moins une semaine. Il est important de progresser lentement et que les patients se renforcent dans une amplitude de mouvement non douloureuse, afin d&rsquo;\u00e9viter l&rsquo;aggravation des sympt\u00f4mes. <sup id=\"cite_ref-:2_5-8\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup> Voici quelques exemples d&rsquo;exercices de renforcement.<\/p>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/3_8SIqWZ8w4?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/JlNiPRTe4Rw?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/rSzba5Cq6SM?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/5kp45nPJxa8?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/0me9b2Kjkbc?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/IgokBrYeIy8?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/qSLGFWWQjfU?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/YetNUU3sCH4?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-4\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/a_92x8kpOqo?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-28\" class=\"reference\"><a href=\"#cite_note-28\">(28)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 52.5px auto;\"><a class=\"image\" href=\"\/File:Wrist_extension_eccentric.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Wrist_extension_eccentric.png\/250px-Wrist_extension_eccentric.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Wrist_extension_eccentric.png\/375px-Wrist_extension_eccentric.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Wrist_extension_eccentric.png\/500px-Wrist_extension_eccentric.png 2x\" alt=\"\" width=\"250\" height=\"75\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Extension excentrique du poignet<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 51px auto;\"><a class=\"image\" href=\"\/File:Wrist_flexion_eccentric.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Wrist_flexion_eccentric.png\/250px-Wrist_flexion_eccentric.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Wrist_flexion_eccentric.png\/375px-Wrist_flexion_eccentric.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/96\/Wrist_flexion_eccentric.png\/500px-Wrist_flexion_eccentric.png 2x\" alt=\"\" width=\"250\" height=\"78\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Flexion excentrique du poignet<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 52px auto;\"><a class=\"image\" href=\"\/File:Wrist_radial_deviation_eccentric.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5e\/Wrist_radial_deviation_eccentric.png\/250px-Wrist_radial_deviation_eccentric.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5e\/Wrist_radial_deviation_eccentric.png\/375px-Wrist_radial_deviation_eccentric.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/5\/5e\/Wrist_radial_deviation_eccentric.png\/500px-Wrist_radial_deviation_eccentric.png 2x\" alt=\"\" width=\"250\" height=\"76\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>D\u00e9viation radiale excentrique du poignet<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<ul>\n<li><b>Mobilisation<\/b>\n<ul>\n<li>La mobilisation avec mouvement a montr\u00e9 son efficacit\u00e9 dans la diminution de la douleur, l&rsquo;am\u00e9lioration de l&rsquo;amplitude des mouvements et l&rsquo;am\u00e9lioration de la fonction d&rsquo;un patient atteint de t\u00e9nosynovite de De-Quervain. Le th\u00e9rapeute effectue un glissement radial manuel de la rang\u00e9e proximale du carpe, puis demande \u00e0 la patiente de mettre son pouce en abduction-adduction radiale.<sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup> La mobilisation avec mouvement effectu\u00e9e en 3 s\u00e9ries de 10 r\u00e9p\u00e9titions et suivie d&rsquo;un exercice excentrique de flexion en marteau \u00e0 l&rsquo;aide d&rsquo;une bande \u00e9lastique th\u00e9rapeutique et d&rsquo;une stimulation \u00e9lectrique \u00e0 haute tension s&rsquo;est av\u00e9r\u00e9e efficace apr\u00e8s 6 mois de suivi.<sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup> Savva et al.<sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup> ont \u00e9tudi\u00e9 l&rsquo;effet analg\u00e9sique de la mobilisation articulaire dans les tendinopathies et ont conclu que la litt\u00e9rature sur les mobilisations articulaires dans les tendinopathies telles que la t\u00e9nosynovite de De Quervain reste limit\u00e9e car l&rsquo;effet de ces techniques a \u00e9t\u00e9 rapport\u00e9 de mani\u00e8re \u00e9parse dans quelques s\u00e9ries de cas r\u00e9trospectives et \u00e9tudes de cas.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/eRCE501w0-s?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><\/p>\n<ul>\n<li><b>Le taping<\/b>\n<ul>\n<li>Le taping peut \u00e9galement \u00eatre utilis\u00e9 pour diminuer la douleur et am\u00e9liorer la fonction.<sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/n-m9RT7sdUA?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-34\" class=\"reference\"><a href=\"#cite_note-34\">(34)<\/a><\/sup><\/p>\n<ul>\n<li><b>Ultrasons<\/b>\n<ul>\n<li>Les ultrasons th\u00e9rapeutiques donnent \u00e9galement de meilleurs r\u00e9sultats en mati\u00e8re de r\u00e9duction de la douleur et de gu\u00e9rison. <sup id=\"cite_ref-:1_18-1\" class=\"reference\"><a href=\"#cite_note-:1-18\">(18)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span id=\"Red_Flags\" class=\"mw-headline\">Drapeaux rouges <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Red Flags\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=14\">\u00e9diter<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Red Flags\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=14\">\u00e9diter la source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 112px;\"><a class=\"image\" href=\"\/File:Red_flag_photo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Red_flag_photo.jpg\/110px-Red_flag_photo.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Red_flag_photo.jpg\/165px-Red_flag_photo.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Red_flag_photo.jpg\/220px-Red_flag_photo.jpg 2x\" alt=\"Red flag photo.jpg\" width=\"110\" height=\"165\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Les signaux d&rsquo;alerte ou drapeaux rouges \u00e0 surveiller chez les patients atteints de t\u00e9nosynovite de De Quervain peuvent \u00eatre les suivants : <sup id=\"cite_ref-:2_5-9\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li>Signes d&rsquo;infection tels que rougeurs ou gonflements non r\u00e9solus<\/li>\n<li>Douleur importante (\u2265 7\/10) apr\u00e8s 4 semaines de traitement conservateur<\/li>\n<li>Lieu de travail tr\u00e8s exigeant ou personne oblig\u00e9e de poursuivre des activit\u00e9s aggravantes<\/li>\n<\/ul>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Conclusion<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Conclusion\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Conclusion\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le traitement efficace de la t\u00e9nosynovite de DeQuervain implique une approche tr\u00e8s individualis\u00e9e, ax\u00e9e sur le handicap du patient en question. Le port pr\u00e9coce d&rsquo;une attelle pendant la phase aigu\u00eb emp\u00eachera l&rsquo;aggravation des l\u00e9sions aux tissus et permettra au patient d&rsquo;effectuer les activit\u00e9s essentielles \u00e0 ses soins personnels et \u00e0 son emploi. Le patient devra \u00eatre inform\u00e9 des d\u00e9lais de cicatrisation des tissus et des raisons pour lesquelles il est important d&rsquo;\u00e9viter les activit\u00e9s qui aggravent ses sympt\u00f4mes. La progression de la th\u00e9rapie par l&rsquo;exercice va de l&rsquo;isom\u00e9trique \u00e0 l&rsquo;excentrique au concentrique dans l&rsquo;amplitude interne. Les patients ne doivent plus ressentir de douleur avant de passer au niveau de renforcement suivant.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-thomas-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-thomas_1-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Pagonis T, Ditsios K, Toli P, Givissis P, Christodoulou A. Improved corticosteroid treatment of recalcitrant de Quervain tenosynovitis with a novel 4-point injection technique. The American journal of sports medicine. 2011 Feb;39(2):398-403.<\/span><\/li>\n<li id=\"cite_note-Ashurst-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-Ashurst_2-0\">2,0<\/a><\/sup> <sup><a href=\"#cite_ref-Ashurst_2-1\">2,1<\/a><\/sup> <sup><a href=\"#cite_ref-Ashurst_2-2\">2,2<\/a><\/sup> <sup><a href=\"#cite_ref-Ashurst_2-3\">2,3<\/a><\/sup><\/span> <span class=\"reference-text\">Ashurst JV, Turco DA, Lieb BE. Tenosynovitis caused by texting: an emerging disease. Journal of Osteopathic Medicine. 2010 May 1;110(5):294-6.<\/span><\/li>\n<li id=\"cite_note-Gonzalez-Inglesias-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-Gonzalez-Inglesias_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-Gonzalez-Inglesias_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-Gonzalez-Inglesias_3-2\">3.2<\/a><\/sup><\/span> <span class=\"reference-text\">Gonz\u00e1lez-iGlesias J, Huijbregts P, Fern\u00e1ndez-de-Las-Pe\u00f1as C, Cleland JA. Differential diagnosis and physical therapy management of a patient with radial wrist pain of 6 months&rsquo; duration: a case report. journal of orthopaedic &amp; sports physical therapy. 2010 Jun;40(6):361-8.<\/span><\/li>\n<li id=\"cite_note-:0-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-2\">4.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-3\">4.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-4\">4.4<\/a><\/sup><\/span> <span class=\"reference-text\">Satteson E, Tannan SC. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK442005\/\" rel=\"nofollow\">De Quervain Tenosynovitis.<\/a> StatPearls (Internet). 2021 Aug 8.<\/span><\/li>\n<li id=\"cite_note-:2-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-4\">5.4<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-5\">5.5<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-6\">5.6<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-7\">5.7<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-8\">5.8<\/a><\/sup> <sup><a href=\"#cite_ref-:2_5-9\">5.9<\/a><\/sup><\/span> <span class=\"reference-text\">Kate Thorn. 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