Septated de Quervain's Disease with MRI Images: A case report.

, Song, Sun Hong; , Jung, Hwa Sung; , Koo, Jung Hoi; , Ahn, Jae Hong; , Joh, Kwang Duk

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2007;31(5):602-605.

Song, Sun Hong , Jung, Hwa Sung , Koo, Jung Hoi , Ahn, Jae Hong , Joh, Kwang Duk

¹Department of Rehabilitation Medicine, Kangnung Hospital, University of Ulsan College of Medicine, Korea. mdjhkoo@gnah.co.kr
²Department of Anesthesiology, Kangnung Hospital, University of Ulsan College of Medicine, Korea.
³Department of Radiology, Kangnung Hospital, University of Ulsan College of Medicine, Korea.
⁴Department of Neurology, Kangnung Hospital, University of Ulsan College of Medicine, Korea.

격막 있는 de Quervain씨 병의 자기 공명 영상 소견 1례 -증례 보고-

송선홍¹, 정화성², 구정회¹, 안재홍³, 조광덕⁴

울산대학교 의과대학 강릉아산병원 ¹재활의학교실, ²마취통증의학교실, ³영상의학교실, ⁴신경과학교실

Abstract

De Quervain's disease is the most common form of tenosynovitis, which causes disability in daily living and occupational activity. Anatomical variations in the first extensor compartment including separate comparment influenced the effects of treatment. A 45-year-old woman had severe pain on wrist and suffered in activity of daily living after motor vehicle accident. She had swelling and tenderness upon the radial styloid process, and more aggravated pain by Finkelstein's maneuver test. The magnetic resonance imaging (MRI) scans showed severe peritendinous edema within the synovial sheath, increased signal intensity within the tendons. Also, the images revealed a thickened septum between abductor pollicis longus and extensor pollicis brevis. Corticosteroid was injected on both sides of the septum. We report a case of definite septum of de Quervain's disease via MRI scans. (J Korean Acad Rehab Med 2007; 31: 602-605)

Key Words: de Quervain's disease, Tenosynovitis, Septum