Fritz de Quervain, MD (1868–1940): Stenosing tendovaginitis at the radial styloid process

University of Michigan Medical School, Ann Arbor, MI 48109-0340, USA.
The Journal Of Hand Surgery (Impact Factor: 1.67). 12/2004; 29(6):1164-70. DOI: 10.1016/j.jhsa.2004.05.019
Source: PubMed


Fritz de Quervain was the first surgeon to describe and treat chronic stenosing tendovaginitis at the radial styloid process. The current management of this condition differs little from his initial description and as a result the condition now bears his name. He and his mentor, Nobel Prize winner Theodor Kocher, advanced the understanding and treatment of thyroid disease, especially subacute nonsuppurative thyroiditis, another condition to which his name is attached. He was a pioneer of surgical technology and author of books and articles read worldwide and is largely responsible for the introduction of iodized table salt.

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    • "In 1895, Swiss physician Fritz de Quervain first described the disorder, which later became known as de Quervain's syndrome (de Quervain, 1997; Ahuja and Chung, 2004). The syndrome is usually defined as pathology of the tendons of the extensor pollicis brevis and the abductor pollicis longus muscles secondary to stenosis of the first dorsal compartment of the wrist. "
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    ABSTRACT: The methods and clinical outcomes of intra-sheath triamcinolone injection in the treatment of de Quervain's disease are described. We used 38 hands of 36 patients. A mixture of 1 ml of triamcinolone and 1 ml of 1% lidocaine hydrochloride was injected, with an interval of 2 weeks. The fluid was injected into one point above the induration for the first 18 hands and into two points over the extensor pollicis brevis and abductor pollicis longus tendon in the induration for hands 19-38. The efficacy rate was 89%, with the treatment results of the two-point injection better than those of the one-point injection. Recurrence was observed in ten hands, and complications in 13 hands; however, over 90% of patients were satisfied with the injection. The accurate injection of triamcinolone into the sheath of both the extensor pollicis brevis and abductor pollicis longus tendon was considered very effective for de Quervain's disease.
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