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Osseous involvement in de Quervain's disease
Clinical Orthopaedics and Related Research
|June 1, 1984
Summary
De Quervain's tenosynovitis can involve the radial styloid bone, often showing local osteoporosis. This finding is important for diagnosing lytic lesions in this area.
Area of Science:
- Orthopedics
- Radiology
- Nuclear Medicine
Background:
- De Quervain's stenosing tenosynovitis typically affects the wrist tendons.
- Osseous involvement is not commonly recognized in this condition.
Observation:
- A case presented with stenosing tenosynovitis and significant local osteoporosis in the radial styloid.
- A technetium-99m polyphosphonate bone scan showed a positive area corresponding to the osteoporosis.
Findings:
- Six out of seven consecutive patients with de Quervain's disease showed evidence of radial styloid osseous involvement.
- Roentgenographic studies and/or technetium bone scanning confirmed these osseous changes.
Implications:
- De Quervain's tenosynovitis should be considered in the differential diagnosis of lytic lesions in the radial styloid area.
- This highlights the potential for bone changes in this common tenosynovitis.