Annals of Rehabilitation Medicine

Case Report: J Korean Acad Rehabil Med. 2007;31(5):602-605.; 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; 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.

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)

Keywords :de Quervain's disease, Tenosynovitis, Septum