One of the most common diseases of the tendon is de Kerven's disease. The cause of this disease is seen in over-strain of the tendon, which is associated with frequent and/or excessive loading of the thumb of the hand.
Accordingly, de Kerven's disease often affects people of certain occupations associated with constant and similar work by hands: seamstresses, plasterers, cleaners, carpenters, builders, masseurs, etc. Most often, ailments affecting the tendon, women suffer.
De Kerven's Disease: Symptoms
- The main symptom of de Kerven's disease is pain in the radiopausal joints on the thumb (in the area of the noclide ray of the radius).
- The pain is aggravated when the brush and other movements are rotated, it can be given to the forearm, brush, neck and shoulder. In some cases, nocturnal pains are observed.
- A characteristic symptom of de Kerven's disease is a symptom of Finkelstein. Man squeezes his hand in his fist, placing his thumb inside him. If an attempt to remove the brush towards the thumb is accompanied by a sharp pain, the symptom is considered positive.
- At palpation of the articular region there is a swelling or a motionless tumor, pain from the affected side.
Conservative treatment of De Kerven's disease
An indispensable condition for the treatment of people with de Kerven's disease is the termination of previously performed work with the immobilization of the affected lesion. Immobilization should be made in such a way that the first finger is in a bent position in opposition to the second and third fingers, and the brush should be in the position of light rear splitting.
The best for these purposes is a plaster band that is superimposed from the tips of the fingers to the middle of the forearm. Immobilization as the termination of previously performed, prevents joint trauma, but by itself it is not a treatment. Within two to three weeks, which will hand in a plaster bandage should be conducted adequate conservative therapy of the disease.
The basis Quervain's disease which are inflammatory changes connections because of illness tendons treated using physiotherapy (paraffin wax, mineral wax), anti-inflammatory drugs and medical novocaine blockade, although often the effectiveness of these drugs in the long existing disease is questionable, because often the disease after Several weeks of remission comes back again.
Good results show local injection of hydrocortisone, which are held 2-6 times with intervals of 2-3 days.
After any conservative treatment should follow the period of rehabilitation with the discharge of damaged communication for 2-4 weeks.
Surgical treatment of de Kerven's disease
Surgical treatment of de Quervain's disease is quite common and is used with no effect of conservative treatment, as well as the bilateral process.
The operation can be performed in an outpatient setting under local anesthesia. The essence of the operation is to open the ligament channel and release the compression of the tendons.
Surgical treatment provides a small percentage of complications associated with the formation of painful scars and movement disorders thumb first.