{"id":5601,"date":"2023-04-10T22:07:19","date_gmt":"2023-04-10T22:07:19","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/de-quervains-tenosynovitis-it\/"},"modified":"2023-04-11T15:20:43","modified_gmt":"2023-04-11T15:20:43","slug":"de-quervains-tenosynovitis-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/de-quervains-tenosynovitis-it\/","title":{"rendered":"Tenosinovite di De Quervain"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Redattori principali <\/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>Contributori principali<\/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=\"Speciale:Contributi\/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>Rachael Lowe<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User: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> and <a class=\"mw-userlink\" title=\"User:Naomi O'Reilly\" href=\"\/User:Naomi_O%27Reilly\"><bdi>Naomi O&#8217;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\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Definition.2FDescription\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Definizione \/ Descrizione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Aetiology\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\"><b>Eziologia<\/b><\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Relevant_Clinical_Anatomy\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Anatomia clinica pertinente<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Epidemiology\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Epidemiologia<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Diagnosi differenziale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-6\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Presentazione clinica<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Examination\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\">Esame<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#History\"><span class=\"tocnumber\">6.1.1<\/span> <span class=\"toctext\">Storia<\/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>Esame obiettivo<\/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\">Livelli di trattamento<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Non-Surgical_Treatment\"><span class=\"tocnumber\">6.3<\/span> <span class=\"toctext\">Trattamento non chirurgico<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Surgical_Treatment\"><span class=\"tocnumber\">6.4<\/span> <span class=\"toctext\">Trattamento chirurgico<\/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\">Gestione fisioterapica<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Red_Flags\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Bandiere rosse<\/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\">Conclusione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Definition\/Description\"><\/span><span id=\"Definition.2FDescription\" class=\"mw-headline\">Definizione \/ Descrizione<\/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>Tabacchiera anatomica<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La tenosinovite di De Quervain \u00e8 una condizione dolorosa e infiammatoria causata dai tendini sul lato del polso alla base del pollice. Il dolore, che \u00e8 il disturbo principale, peggiora con l&#8217;abduzione del pollice, l&#8217;azione di presa della mano e la deviazione ulnare del polso. Possono essere presenti anche ispessimento e gonfiore. <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>Eziologia<\/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 causa pi\u00f9 comune \u00e8 l&#8217;overuse cronico.<\/li>\n<li>Attivit\u00e0 come il golf, il pianoforte, la pesca a mosca, la falegnameria o le attivit\u00e0 svolte da impiegati d&#8217;ufficio e musicisti possono portare a lesioni croniche da overuse.<\/li>\n<li>La popolazione classica di pazienti \u00e8 costituita da madri di neonati che sollevano ripetutamente il proprio bimbo con i pollici abdotti radialmente e i polsi che passano dalla deviazione ulnare a quella 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>Anatomia della tenosinovite di De Quervain<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>La ripetizione di azioni come la presa, l&#8217;afferramento o la strizzatura di oggetti pu\u00f2 causare un&#8217;infiammazione dei tendini e delle guaine tendinee che restringe il primo compartimento dorsale limitando il movimento dei tendini. Se non trattata, l&#8217;infiammazione e il progressivo restringimento (stenosi) possono portare a cicatrici che limitano ulteriormente il movimento del pollice. <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 tenosinovite di De Quervain \u00e8 stata &#8220;attribuita alla degenerazione mixoide (processo in cui i tessuti connettivi vengono sostituiti da una sostanza gelatinosa) con depositi di tessuto fibroso e aumento della vascolarizzazione piuttosto che a un&#8217;infiammazione acuta del rivestimento sinoviale&#8221;.<sup id=\"cite_ref-:0_4-0\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> Per questo motivo si pensa che si tratti di una tendinosi piuttosto che di una tendinite.<sup id=\"cite_ref-:2_5-0\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup> Questo deposito di tessuti fibrosi provoca un ispessimento della guaina tendinea, che pu\u00f2 intrappolare i tendini dell&#8217;<a class=\"mw-redirect\" title=\"Abductor pollicis longus\" href=\"\/Abductor_pollicis_longus\">abduttore lungo del pollice<\/a> e dell&#8217; <a title=\"Extensor Pollicis Brevis\" href=\"\/Extensor_Pollicis_Brevis\">estensore breve del pollice<\/a> e causare dolore.<\/li>\n<\/ul>\n<h2><span id=\"Relevant_Clinical_Anatomy\" class=\"mw-headline\">Anatomia clinica 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\">modifica<\/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\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La sindrome di De Quervain colpisce il tendine dell&#8217;<a class=\"external text\" href=\"https:\/\/www.physio-pedia.com\/Extensor_Pollicis_Brevis\" rel=\"nofollow\">estensore breve del pollice<\/a> e il tendine dell&#8217;<a class=\"mw-redirect\" title=\"Abductor pollicis longus\" href=\"\/Abductor_pollicis_longus\">abduttore lungo del pollice<\/a>. Questi muscoli sono situati sul lato dorsale dell&#8217;avambraccio e arrivano al lato laterale del pollice attraverso un tunnel fibro-osseo costituito dai raggi del processo stiloideo e dal <a title=\"Extensor Retinaculum (Wrist)\" href=\"\/Extensor_Retinaculum_(Wrist)\">retinacolo estensore<\/a>. <sup id=\"cite_ref-Schunke_6-0\" class=\"reference\"><a href=\"#cite_note-Schunke-6\">(6)<\/a><\/sup> Le guaine tendinee dell&#8217;abduttore lungo del pollice e dell&#8217;estensore breve del pollice passano attraverso il tunnel fibro-osseo situato lungo lo stiloide radiale in corrispondenza del polso distale.<\/p>\n<ol>\n<li>Estensore breve del pollice\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>Anatomia dell&#8217;avambraccio<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Origine: \u00bd lato dorsale del radio, la membrana interossea<\/li>\n<li>Inserimento: base della falange prossimale del pollice<\/li>\n<li>Funzione:\n<ul>\n<li>Articolazione del polso: abduzione radiale<\/li>\n<li>Pollice: estensione<\/li>\n<\/ul>\n<\/li>\n<li>Innervazioni: ramo interosseo posteriore del <a class=\"mw-redirect\" title=\"Radial nerve\" href=\"\/Radial_nerve\">nervo radiale<\/a><\/li>\n<li>Arteria: arteria interossea posteriore<\/li>\n<\/ul>\n<\/li>\n<li>Adduttore lungo del pollice\n<ul>\n<li>Origine: lato dorsale del radio e dell&#8217;ulna, la membrana interossea<\/li>\n<li>Inserzione: base delle ossa metacarpali<\/li>\n<li>Funzione:\n<ul>\n<li>Articolazione del polso: abduzione radiale<\/li>\n<li>Pollice: abduzione<\/li>\n<\/ul>\n<\/li>\n<li>Innervazioni: ramo interosseo posteriore del nervo radiale<\/li>\n<li>Arteria: arteria interossea posteriore<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><span id=\"Epidemiology\" class=\"mw-headline\">Epidemiologia<\/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 prevalenza stimata \u00e8 dello 0,5% negli uomini e dell&#8217;1,3% nelle donne. Il picco di prevalenza si registra solitamente tra gli individui di et\u00e0 compresa tra i 40 e i 50 anni di et\u00e0. <sup id=\"cite_ref-:3_7-0\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup><\/li>\n<li>Pi\u00f9 comunemente si riscontra in persone con un&#8217;anamnesi di <a title=\"Medial Epicondyle Tendinopathy\" href=\"\/Medial_Epicondyle_Tendinopathy\">epicondilite mediale<\/a> o <a title=\"Lateral Epicondylitis\" href=\"\/Lateral_Epicondylitis\">laterale.<\/a><\/li>\n<li>Le neomamme o le puericultrici spesso avvertono sintomi bilaterali, che per\u00f2 di solito si attenuano quando il bimbo viene sollevato meno spesso.<sup id=\"cite_ref-:0_4-1\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<li>In contesti industriali, gli studi hanno dimostrato una prevalenza puntuale dell&#8217;8% in presenza di dolore al polso e <a class=\"external text\" href=\"http:\/\/www.physio-pedia.com\/Finkelstein_Test\" rel=\"nofollow\">test di Finkelstein<\/a> positivo.<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\">Diagnosi differenziale<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Osteoartrosi della prima articolazione carpo-metacarpale (diagnosi differenziale principale per la tenosinovite di De Quervain<sup id=\"cite_ref-:2_5-1\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup>)<\/li>\n<li>Pollice a grilletto<\/li>\n<li>Sindrome di Wartenberg (neurite del nervo radiale superficiale)<\/li>\n<li>Fratture dello scafoide o dello stiloide radiale<\/li>\n<li>Sindrome da intersezione<\/li>\n<\/ul>\n<h2><span id=\"Clinical_Presentation\" class=\"mw-headline\">Presentazione clinica<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Examination\" class=\"mw-headline\">Esaminazione<\/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>La valutazione di un paziente con segni e sintomi di tenosinovite di De Quervain inizia con un&#8217;anamnesi accurata seguita da un esame obiettivo.<\/p>\n<h4><span id=\"History\" class=\"mw-headline\">Storia<\/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>Dolore al polso<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Lesione da overuse vs. trauma acuto<\/li>\n<li>Storia precedente dei sintomi<\/li>\n<li>Movimenti ripetitivi dell&#8217;arto superiore durante il lavoro o le attivit\u00e0 della vita quotidiana (AVQ)<\/li>\n<li>Dominanza della mano<\/li>\n<li>Incinta o attualmente in fase di post-parto<\/li>\n<li>Dolore:\n<ul>\n<li>Il disturbo principale \u00e8 il dolore al lato radiale del polso (base del pollice e aspetto dorso-laterale del polso vicino al processo stiloideo radiale) che si irradia lungo l&#8217;avambraccio con la presa o l&#8217;estensione del pollice.<\/li>\n<li>Descritto come una &#8220;costante sensazione di dolore, bruciore e trazione&#8221;.<sup id=\"cite_ref-Walker_8-0\" class=\"reference\"><a href=\"#cite_note-Walker-8\">(8)<\/a><\/sup><\/li>\n<li>Aggravato da movimenti ripetitivi di sollevamento, presa o torsione della mano (come l&#8217;apertura del coperchio di un barattolo).<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>Esame obiettivo<\/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\">edit<\/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\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Alla palpazione, alcuni risultati chiave e significativi saranno l&#8217;indolenzimento alla base del pollice e\/o dei tendini estensori del primo compartimento dorsale sul lato del pollice del polso, in particolare sopra il processo stiloideo radiale<sup id=\"cite_ref-Ashurst_2-3\" class=\"reference\"><a href=\"#cite_note-Ashurst-2\">(2)<\/a><\/sup><\/li>\n<li>Gonfiore nella <a title=\"Tabacchiera anatomica\" href=\"\/Anatomical_snuff_box\">tabacchiera anatomica <\/a> <\/li>\n<li>Diminuzione del range di movimento dell&#8217;articolazione carpo-metacarpale in abduzione del primo dito<\/li>\n<li>Ispessimento palpabile delle guaine estensorie del primo compartimento dorsale e crepitio dei tendini che si muovono dalla guaina estensoria <sup id=\"cite_ref-Anderson_9-0\" class=\"reference\"><a href=\"#cite_note-Anderson-9\">(9)<\/a><\/sup><\/li>\n<li>Altri possibili risultati includono:\n<ul>\n<li>Debolezza e parestesia della mano<sup id=\"cite_ref-Gonzalez-Inglesias_3-2\" class=\"reference\"><a href=\"#cite_note-Gonzalez-Inglesias-3\">(3)<\/a><\/sup><\/li>\n<li>Un <a title=\"Test di Finkelstein\" href=\"\/Finkelstein_Test\">test di Finkelstein<\/a> provocativo\n<ul>\n<li>Durante questo test, il pollice viene flesso e mantenuto dentro al pugno. Il paziente devia attivamente il polso verso il lato ulnare. Questo provoca un dolore acuto lungo il polso radiale in corrispondenza del primo compartimento dorsale.<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>Video del test di Finkelstein fornito da <a href=\"http:\/\/clinicallyrelevant.com\/\" target=\"_blank\" rel=\"noopener\">Clinically Relevant<\/a><\/p>\n<\/div>\n<h3><span id=\"Treatment_Tiers\" class=\"mw-headline\">Livelli di trattamento<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Livelli di trattamento\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=10\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Livelli di trattamento\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=10\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>In generale, esistono tre livelli di trattamento per la tenosinovite di 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>Livello 1: gestione conservativa\n<ul>\n<li>tutore<\/li>\n<li>ecografia<\/li>\n<li>terapia multimodale della mano<\/li>\n<li>modifica dell&#8217;attivit\u00e0<\/li>\n<\/ul>\n<\/li>\n<li>Livello 2: iniezione di corticosteroidi<\/li>\n<li>Livello 3: chirurgia<\/li>\n<\/ul>\n<p>I livelli 1 e 2 possono essere combinati in base alla presentazione del paziente e alla sua disponibilit\u00e0 a sottoporsi a un&#8217;iniezione di corticosteroidi.<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\">Trattamento non chirurgico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Trattamento non chirurgico\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=11\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Trattamento non chirurgico\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=11\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&#8217;obiettivo della gestione non chirurgica \u00e8 quello di ridurre il dolore e il gonfiore. Gli interventi possono comprendere:<\/p>\n<ul>\n<li>Educazione del paziente ad evitare movimenti ripetitivi o aggravanti <sup id=\"cite_ref-:2_5-4\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>Farmaci antinfiammatori non steroidei (FANS)<\/li>\n<li>Impacchi di ghiaccio\/calore<\/li>\n<li>Fisioterapia <sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup><\/li>\n<li>Tutore per il pollice\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>Tutore per De Quervain<\/p>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>La letteratura supporta l&#8217;uso di un tutore per l&#8217;avambraccio che includa il pollice per ridurre la deviazione ulnare e il movimento del pollice.<sup id=\"cite_ref-:2_5-5\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/li>\n<li>I clinici non concordano sulla frequenza e sulla durata dell&#8217;uso del tutore; alcuni ritengono che debba essere indossato continuamente per 4-6 settimane, mentre altri raccomandano di indossarlo solo in caso di dolore.<sup id=\"cite_ref-Harvard_11-0\" class=\"reference\"><a href=\"#cite_note-Harvard-11\">(11)<\/a><\/sup><\/li>\n<li>Weiss e colleghi<sup id=\"cite_ref-weiss_12-0\" class=\"reference\"><a href=\"#cite_note-weiss-12\">(12)<\/a><\/sup> hanno riscontrato un miglioramento del 19% con l&#8217;uso di tutori, ma quando l&#8217;uso di tutori \u00e8 stato combinato con i FANS, il miglioramento \u00e8 stato del 57%. Cavaleri et al.<sup id=\"cite_ref-:3_7-1\" class=\"reference\"><a href=\"#cite_note-:3-7\">(7)<\/a><\/sup> hanno riportato che gli approcci combinati ortesi\/iniezioni di corticosteroidi sono pi\u00f9 efficaci di uno dei due interventi da solo nel trattamento della sindrome di de Quervain.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Si ritiene che l&#8217;<a class=\"external text\" href=\"http:\/\/www.physio-pedia.com\/Ultrasound_therapy\" rel=\"nofollow\">ecografia<\/a> migliori i risultati del trattamento e possa essere utilizzata come strumento diagnostico nella gestione della sindrome di 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> hanno riscontrato che le iniezioni ecoguidate sono utili per la tenosinovite di De Quervain. I risultati sono stati leggermente migliori di quelli precedentemente riportati nella letteratura e non hanno riportato reazioni avverse.<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> hanno riscontrato che le iniezioni ecoguidate mirate all&#8217;estensore breve del pollice erano pi\u00f9 efficaci dell&#8217;iniezione manuale.<\/li>\n<\/ul>\n<\/li>\n<li>L&#8217;iniezione di corticosteroidi si \u00e8 rivelata efficace. Una o due iniezioni sono di solito sufficienti per alleviare il dolore.\n<ul>\n<li>Se non vi \u00e8 un miglioramento significativo dei sintomi dopo due iniezioni di corticosteroidi, potrebbe essere presa in considerazione la gestione chirurgica. L&#8217;intervento viene solitamente eseguito in regime ambulatoriale e l&#8217;anestesia potrebbe essere locale, regionale o generale.<sup id=\"cite_ref-:0_4-3\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<li>I pazienti con sintomi da moderati a gravi richiedono solitamente iniezioni di cortisone in combinazione con tutori.<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>** Nei soggetti con sintomi persistenti, la gestione non chirurgica pi\u00f9 comunemente comprende: uso di un tutore, antinfiammatori sistemici e iniezione di corticosteroidi.<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\">Trattamento chirurgico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Trattamento chirurgico\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=12\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Trattamento chirurgico\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=12\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>L&#8217;intervento chirurgico \u00e8 raro e di solito viene scelto nei casi in cui il trattamento non chirurgico \u00e8 fallito e il paziente presenta un&#8217;infiammazione persistente che compromette le sue funzioni. L&#8217;obiettivo dell&#8217;intervento \u00e8 quello di aprire il rivestimento del compartimento dorsale per fare pi\u00f9 spazio ai tendini irritati. L&#8217;apertura consente di scaricare la pressione sui tendini, per ripristinare il libero scorrimento dei tendini.<sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Il trattamento post-operatorio solitamente \u00e8 semplice, con una semplice medicazione e senza bisogno di complicate cure della ferita. Gli individui vengono incoraggiati a iniziare con l&#8217;uso precoce della mano per le attivit\u00e0 quotidiane pi\u00f9 leggere. Le suture vengono rimosse dopo 14 giorni e le persone possono continuare a svolgere le loro normali attivit\u00e0. Per alcuni mesi possono essere presenti un leggero gonfiore e una sensazione di indolenzimento intorno al sito chirurgico.<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\">Gestione fisioterapica<\/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\">modifica<\/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\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><b>Impacchi di ghiaccio\/calore<\/b>\n<ul>\n<li>Il calore pu\u00f2 aiutare a rilassare e sciogliere la muscolatura rigida, mentre il ghiaccio pu\u00f2 essere utilizzato per alleviare l&#8217;infiammazione della guaina estensoria.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b>Massaggio<\/b>\n<ul>\n<li>Il massaggio dei tessuti profondi in corrispondenza dell&#8217;eminenza thenar pu\u00f2 aiutare a rilassare la muscolatura rigida che causa il dolore. \u00c8 utile anche la Tecnica di Graston, che consiste nella mobilizzazione manuale dei tessuti molli insieme all&#8217;esercizio eccentrico. Questa tecnica prevede la rottura delle restrizioni della fascia, l&#8217;allungamento del tessuto connettivo e la promozione di un ambiente di guarigione migliore.<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>Rinforzo<\/b><\/li>\n<\/ul>\n<p>La progressione della terapia basata sull&#8217;esercizio \u00e8 la seguente:<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>Esercizio isometrico<\/li>\n<li>Esercizio eccentrico<\/li>\n<li>Esercizio concentrico nel range interno<\/li>\n<li>Theraputty<\/li>\n<li>Glide del nervo radiale<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<\/li>\n<\/ul>\n<p>I pazienti possono iniziare con gli esercizi di rinforzo una volta che il dolore si \u00e8 stabilizzato a un livello gestibile. Il programma di rinforzo dovrebbe essere graduale e molto progressivo. Far avanzare i pazienti nel programma di rinforzo solo se sono in grado di tollerare l&#8217;attuale programma di rinforzo per almeno una settimana. \u00c8 importante procedere lentamente e che i pazienti si rinforzino in un range di movimento non doloroso, per evitare l&#8217;aggravamento dei sintomi.<sup id=\"cite_ref-:2_5-8\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup> Di seguito sono riportati alcuni esempi di esercizi di rinforzo.<\/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>Estensione eccentrica del polso<\/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>Flessione eccentrica del polso<\/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>Deviazione radiale eccentrica del polso<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<ul>\n<li><b>Mobilizzazione<\/b>\n<ul>\n<li>La mobilizzazione con movimento si \u00e8 dimostrata efficace nel ridurre il dolore, migliorare il range di movimento e migliorare la funzione dei pazienti con tenosinovite di De-Quervain. Il terapista ha eseguito un glide radiale manuale della fila prossimale delle ossa carpali, quindi ha chiesto al paziente di muovere il pollice in abduzione-adduzione radiale.<sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup> La mobilizzazione con movimento eseguita per 3 serie da 10 ripetizioni e seguita da esercizi di curl (arricciamenti) eccentrici a martello con theraband e stimolazione elettrica ad alta tensione si \u00e8 dimostrata efficace nel follow-up a distanza di 6 mesi.<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> hanno analizzato l&#8217;effetto analgesico della mobilizzazione articolare nelle tendinopatie e hanno concluso che la letteratura sulle mobilizzazioni articolari nelle tendinopatie come quella di De Quervain rimane limitata, poich\u00e9 l&#8217;effetto di queste tecniche \u00e8 stato riportato solo in poche serie di casi retrospettivi e casi studio.<\/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>Taping<\/b>\n<ul>\n<li>Anche il taping pu\u00f2 essere utilizzato per ridurre il dolore e migliorare la funzione.<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>Ecografia<\/b>\n<ul>\n<li>Anche l&#8217;ecografia terapeutica ha outcome migliori nella riduzione del dolore e nella guarigione. <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\">Bandiere rosse<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modifica della sezione: Bandiere rosse\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;veaction=edit&amp;section=14\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modifica della sezione: Bandiere rosse\" href=\"\/index.php?title=De_Quervain%27s_Tenosynovitis&amp;action=edit&amp;section=14\">modifica fonte<\/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=\"Bandiera rossa 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>Le bandiere rosse da tenere in considerazione nei pazienti con la sindrome di De Quervain possono includere:<sup id=\"cite_ref-:2_5-9\" class=\"reference\"><a href=\"#cite_note-:2-5\">(5)<\/a><\/sup><\/p>\n<ul>\n<li>Segni di infezione, come rossore o gonfiore non risolti<\/li>\n<li>Elevati livelli di dolore (\u2265 7\/10) dopo 4 settimane di trattamento conservativo<\/li>\n<li>Posto di lavoro ad alta richiesta o una persona costretta a continuare a svolgere attivit\u00e0 aggravanti<\/li>\n<\/ul>\n<h2><span id=\"Conclusion\" class=\"mw-headline\">Conclusioni<\/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>Una gestione efficace della tenosinovite di DeQuervain prevede un approccio altamente individualizzato e basato sulla disabilit\u00e0 del paziente in questione. L&#8217;utilizzo precoce di un tutore durante la fase acuta previene l&#8217;aggravamento dei tessuti e consente al paziente di svolgere le attivit\u00e0 essenziali per la cura di s\u00e9 e l&#8217;occupazione. Il paziente dovr\u00e0 essere istruito sui tempi di guarigione dei tessuti e sul perch\u00e9 \u00e8 importante evitare le attivit\u00e0 che aggravano i sintomi. La progressione della terapia basata sull&#8217;esercizio \u00e8 dall&#8217;isometrico all&#8217;eccentrico al concentrico nel range interno. I pazienti dovrebbero non avere pi\u00f9 dolore prima di poter passare al livello di rinforzo successivo.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/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&#8217; 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. De Quervain&#8217;s Tenosynovitis. Plus Course. 2021<\/span><\/li>\n<li id=\"cite_note-Schunke-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Schunke_6-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Katechia D, Gujral S. De Quervain&#8217;s tenosynovitis. InnovAiT. 2017 Sep;10(9):505-9.<\/span><\/li>\n<li id=\"cite_note-:3-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_7-1\">7.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_7-2\">7.2<\/a><\/sup><\/span> <span class=\"reference-text\">Cavaleri R, Schabrun SM, Te M, Chipchase LS. Hand therapy versus corticosteroid injections in the treatment of de Quervain&#8217;s disease: A systematic review and meta-analysis. Journal of Hand Therapy. 2016 Jan 1;29(1):3-11.<\/span><\/li>\n<li id=\"cite_note-Walker-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-Walker_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-Walker_8-1\">8.1<\/a><\/sup><\/span> <span class=\"reference-text\">Walker MJ. Manual physical therapy examination and intervention of a patient with radial wrist pain: a case report. Journal of orthopaedic &amp; sports physical therapy. 2004 Dec;34(12):761-9.<\/span><\/li>\n<li id=\"cite_note-Anderson-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Anderson_9-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Anderson M, Tichenor CJ. A patient with de Quervain&#8217;s tenosynovitis: a case report using an Australian approach to manual therapy. Physical therapy. 1994 Apr 1;74(4):314-26.<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">F\u00f6ldv\u00e1ri-Nagy L, Tak\u00e1cs J, Hetth\u00e9ssy JR, Mayer \u00c1A, Szak\u00e1cs N, Sz\u00e1vin-P\u00f3sa \u00c1, Lenti K. Treatment of De Quervain&#8217;s tendinopathy with conservative methods. Orvosi Hetilap. 2020 Mar 1;161(11):419-24.<\/span><\/li>\n<li id=\"cite_note-Harvard-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Harvard_11-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Huisstede BM, Gladdines S, Randsdorp MS, Koes BW. Effectiveness of conservative, surgical, and postsurgical interventions for trigger finger, Dupuytren disease, and De Quervain disease: a systematic review. Archives of physical medicine and rehabilitation. 2018 Aug 1;99(8):1635-49.<\/span><\/li>\n<li id=\"cite_note-weiss-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-weiss_12-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Weiss AP, Akelman E, Tabatabai M. Treatment of de Quervain&#8217;s disease. The Journal of hand surgery. 1994 Jul 1;19(4):595-8.<\/span><\/li>\n<li id=\"cite_note-:4-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">Abi-Rafeh J, Kazan R, Safran T, Thibaudeau S. Conservative management of de Quervain stenosing tenosynovitis: review and presentation of treatment algorithm. Plastic and reconstructive surgery. 2020 Apr 15;146(1):105-26.<\/span><\/li>\n<li id=\"cite_note-james-14\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-james_14-0\">14.0<\/a><\/sup> <sup><a href=\"#cite_ref-james_14-1\">14.1<\/a><\/sup><\/span> <span class=\"reference-text\">McDermott JD, Ilyas AM, Nazarian LN, Leinberry CF. Ultrasound-guided injections for de Quervain\u2019s tenosynovitis. Clinical Orthopaedics and Related Research\u00ae. 2012 Jul;470(7):1925-31.<\/span><\/li>\n<li id=\"cite_note-kume-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-kume_15-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Kume K, Amano K, Yamada S, Amano K, Kuwaba N, Ohta H. In de Quervain\u2019s with a separate EPB compartment, ultrasound-guided steroid injection is more effective than a clinical injection technique: a prospective open-label study. Journal of Hand Surgery (European Volume). 2012 Jul;37(6):523-7.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Ba\u015far B, Aybar A, Basar G, Ba\u015far H. The effectiveness of corticosteroid injection and splint in diabetic de Quervain&#8217;s tenosynovitis patients: A single-blind, randomized clinical consort study. Medicine. 2021 Sep 3;100(35).<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Saaiq M. Management Outcome of de Quervain\u2019s Disease with Corticosteroid Injection Versus Surgical Decompression. Archives of Bone and Joint Surgery. 2021 Mar;9(2):167.<\/span><\/li>\n<li id=\"cite_note-:1-18\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_18-0\">18.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_18-1\">18.1<\/a><\/sup><\/span> <span class=\"reference-text\">Goel R, Abzug JM. De Quervain&#8217;s tenosynovitis: a review of the rehabilitative options. Hand. 2015 Mar;10(1):1-5.<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Graston IASTM treatment for hand, thumb and wristAvailable from: <a class=\"external free\" href=\"https:\/\/https:\/\/youtu.be\/8-pjnTwX45s\" rel=\"nofollow\">https:\/\/https:\/\/youtu.be\/8-pjnTwX45s<\/a> (last accessed 26\/10\/2021)<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Abductor pollicis longus strengthening. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=3_8SIqWZ8w4&amp;t=9s\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=3_8SIqWZ8w4&amp;t=9s<\/a>(last accessed 10 November 2021)<\/span><\/li>\n<li id=\"cite_note-21\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-21\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Isometric thumb extension. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=JlNiPRTe4Rw\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=JlNiPRTe4Rw<\/a> (last accessed 10 November 2021)<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Radial deviation isometric. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=rSzba5Cq6SM\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=rSzba5Cq6SM<\/a> (last accessed 10 November 2021)<\/span><\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Thumb and finger band strengthening Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=5kp45nPJxa8\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=5kp45nPJxa8<\/a> (last accessed 11 November 2021)<\/span><\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient.Thumb strengthening with band part 1 Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=0me9b2Kjkbc\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=0me9b2Kjkbc<\/a> (last accessed 6\/6\/2009)<\/span><\/li>\n<li id=\"cite_note-25\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-25\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Thumb strengthening with band part 2 Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=IgokBrYeIy8\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=IgokBrYeIy8<\/a> (last accessed 11 November 2021)<\/span><\/li>\n<li id=\"cite_note-26\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-26\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Wrist flexion with a band. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=qSLGFWWQjfU\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=qSLGFWWQjfU<\/a>(last accessed 11 November 2021)<\/span><\/li>\n<li id=\"cite_note-27\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-27\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Wrist band strengthening. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=YetNUU3sCH4\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=YetNUU3sCH4<\/a> (last accessed 11 November 2021)<\/span><\/li>\n<li id=\"cite_note-28\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-28\">\u2191<\/a><\/span> <span class=\"reference-text\">Rehab my Patient. Radial deviation band Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=a_92x8kpOqo\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=a_92x8kpOqo<\/a> (last accessed 11 November 2021)<\/span><\/li>\n<li id=\"cite_note-29\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-29\">\u2191<\/a><\/span> <span class=\"reference-text\">Backstrom KM. Mobilization with movement as an adjunct intervention in a patient with complicated de Quervain&#8217;s tenosynovitis: a case report. Journal of Orthopaedic &amp; Sports Physical Therapy. 2002 Mar;32(3):86-97.<\/span><\/li>\n<li id=\"cite_note-30\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-30\">\u2191<\/a><\/span> <span class=\"reference-text\">Rabin A, Israeli T, Kozol Z. Physiotherapy Management of People Diagnosed with de Quervain&#8217;s Disease: A Case Series. Physiotherapy Canada. 2015 Aug;67(3):263-7.<\/span><\/li>\n<li id=\"cite_note-31\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-31\">\u2191<\/a><\/span> <span class=\"reference-text\">Savva C, Karagiannis C, Korakakis V, Efstathiou M. The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review. Journal of Manual &amp; Manipulative Therapy. 2021 Mar 28:1-2.<\/span><\/li>\n<li id=\"cite_note-32\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-32\">\u2191<\/a><\/span> <span class=\"reference-text\">Bob &amp; Brad | KDe Quervain&#8217;s Syndrome-How to Stop It When It Just Keeps Hurting! Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/eRCE501w0-s\" rel=\"nofollow\">https:\/\/youtu.be\/eRCE501w0-s<\/a> (last accessed 26\/10\/2021)<\/span><\/li>\n<li id=\"cite_note-33\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-33\">\u2191<\/a><\/span> <span class=\"reference-text\">Ka\u00e7maz \u0130E, Koca A, Basa CD, Zhamilov V, Reiso\u011flu A. Efficacy of Kinesiologic Taping in de Quervain&#8217;s Tenosynovitis: Case Series and Review of Literature. Medical Journal of Bakirkoy. 2019 Sep 1;15(3).<\/span><\/li>\n<li id=\"cite_note-34\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-34\">\u2191<\/a><\/span> <span class=\"reference-text\">STRENGTHTAPE\u00ae| Kinesiology Tape | De Quervain. Available from: <a class=\"external free\" href=\"https:\/\/youtu.be\/n-m9RT7sdUA\" rel=\"nofollow\">https:\/\/youtu.be\/n-m9RT7sdUA<\/a> (last accessed 26\/10\/2021)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230306042701 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.185 seconds Real time usage: 0.222 seconds Preprocessor visited node count: 656\/1000000 Post\u2010expand include size: 381\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 27837\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 65.731 1 Special:Contributors\/De_Quervain's_Tenosynovitis 100.00% 65.731 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redattori principali &#8211; Elizabeth Dallas, Boris Alexandra, Robin Tacchetti Contributori principali &#8211; John Winkelhaus, Wanda van Niekerk, David Cameron, John Fite, Robin Leigh Tacchetti, Robin Tacchetti, Laura Ritchie, Admin, Boris Alexandra, Kim Jackson, Aurelie Canas Perez, Julie Schuermans, Elizabeth Dallas, Lucinda hampton, Redisha Jakibanjar, Corin Arundale, Rachael Lowe, WikiSysop, Jess Bell, Tarina van der Stockt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5601","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5601","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=5601"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5601\/revisions"}],"predecessor-version":[{"id":5608,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/5601\/revisions\/5608"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=5601"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}