De Quervain's tenosynovitis in patients with lymphedema: a report of 2 cases with management approach.
Identifieur interne : 003E05 ( PubMed/Checkpoint ); précédent : 003E04; suivant : 003E06De Quervain's tenosynovitis in patients with lymphedema: a report of 2 cases with management approach.
Auteurs : Julie T. Lin [États-Unis] ; Michael D. StubblefieldSource :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2003.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Ténosynovite.
- étiologie : Ténosynovite.
- Adulte d'âge moyen, Femelle, Humains, Immobilisation, Lymphoedème, Pouce, Tumeurs du sein, Ténosynovite.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms, Lymphedema, Tenosynovitis.
- etiology : Tenosynovitis.
- rehabilitation : Tenosynovitis.
- therapy : Lymphedema.
- Female, Humans, Immobilization, Middle Aged, Thumb.
Abstract
De Quervain's tenosynovitis is a tendonitis of the abductor pollicis longus and extensor pollicis brevis tendons. It commonly occurs as a result of overuse and is often seen in patients who perform repetitive activities. The occurrence of de Quervain's tenosynovitis in lymphedema has not been reported, nor has the management of de Quervain's tenosynovitis been discussed in the literature for patients whose lymphedema results from cancer or other disorders. Musculoskeletal conditions in lymphedema patients often require special considerations because these patients are more susceptible to infections and other complications. We describe the rehabilitation management of de Quervain's tenosynovitis in 2 patients with lymphedema secondary to breast carcinoma. Both patients responded to conservative management with a good clinical outcome. We conclude that a conservative initial management approach consisting of the continued wear of a compression garment, the fabrication of a custom-made thumb spica, occupational therapy with an emphasis on tendon gliding exercises, and prescription of a nonsteroidal anti-inflammatory drug is effective and safe.
PubMed: 14586925
Affiliations:
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It commonly occurs as a result of overuse and is often seen in patients who perform repetitive activities. The occurrence of de Quervain's tenosynovitis in lymphedema has not been reported, nor has the management of de Quervain's tenosynovitis been discussed in the literature for patients whose lymphedema results from cancer or other disorders. Musculoskeletal conditions in lymphedema patients often require special considerations because these patients are more susceptible to infections and other complications. We describe the rehabilitation management of de Quervain's tenosynovitis in 2 patients with lymphedema secondary to breast carcinoma. Both patients responded to conservative management with a good clinical outcome. We conclude that a conservative initial management approach consisting of the continued wear of a compression garment, the fabrication of a custom-made thumb spica, occupational therapy with an emphasis on tendon gliding exercises, and prescription of a nonsteroidal anti-inflammatory drug is effective and safe.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">14586925</PMID><DateCreated><Year>2003</Year><Month>10</Month><Day>30</Day></DateCreated><DateCompleted><Year>2003</Year><Month>11</Month><Day>18</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9993</ISSN><JournalIssue CitedMedium="Print"><Volume>84</Volume><Issue>10</Issue><PubDate><Year>2003</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Archives of physical medicine and rehabilitation</Title><ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation></Journal><ArticleTitle>De Quervain's tenosynovitis in patients with lymphedema: a report of 2 cases with management approach.</ArticleTitle><Pagination><MedlinePgn>1554-7</MedlinePgn></Pagination><Abstract><AbstractText>De Quervain's tenosynovitis is a tendonitis of the abductor pollicis longus and extensor pollicis brevis tendons. It commonly occurs as a result of overuse and is often seen in patients who perform repetitive activities. The occurrence of de Quervain's tenosynovitis in lymphedema has not been reported, nor has the management of de Quervain's tenosynovitis been discussed in the literature for patients whose lymphedema results from cancer or other disorders. Musculoskeletal conditions in lymphedema patients often require special considerations because these patients are more susceptible to infections and other complications. We describe the rehabilitation management of de Quervain's tenosynovitis in 2 patients with lymphedema secondary to breast carcinoma. Both patients responded to conservative management with a good clinical outcome. We conclude that a conservative initial management approach consisting of the continued wear of a compression garment, the fabrication of a custom-made thumb spica, occupational therapy with an emphasis on tendon gliding exercises, and prescription of a nonsteroidal anti-inflammatory drug is effective and safe.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Julie T</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY, USA. linj@hss.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stubblefield</LastName><ForeName>Michael D</ForeName><Initials>MD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Phys Med Rehabil</MedlineTA><NlmUniqueID>2985158R</NlmUniqueID><ISSNLinking>0003-9993</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007103" MajorTopicYN="N">Immobilization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013717" MajorTopicYN="N">Tenosynovitis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013933" MajorTopicYN="Y">Thumb</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2003</Year><Month>10</Month><Day>31</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2003</Year><Month>12</Month><Day>3</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2003</Year><Month>10</Month><Day>31</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">14586925</ArticleId><ArticleId IdType="pii">S0003-9993(03)00285-5</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><noCountry><name sortKey="Stubblefield, Michael D" sort="Stubblefield, Michael D" uniqKey="Stubblefield M" first="Michael D" last="Stubblefield">Michael D. Stubblefield</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Lin, Julie T" sort="Lin, Julie T" uniqKey="Lin J" first="Julie T" last="Lin">Julie T. Lin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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