Frequency of De Quervain’s Tenosynovitis in Carpenters of Lahore

Abstract

Background: De Quervain’s tenosynovitis is described as overuse tendon injury and characterized by painful movements of the fibro-osseous sheath of the extensor pollicis brevis and abductor pollicis longus tendons in which pain is aggravated by thumb movements and wrist movements during functional activities. Objective: To evaluate the frequency of de Quervain’s tenosynovitis in carpenters of Lahore. Methods: A survey was consisting of 103 patients conducted and selected by non-probability convenient sampling in six months; duration. Data collection was done by using the standard ‘Patient Rated Wrist/Hand Evaluation’ questionnaire after taking the informed written and verbal consent. The standard Finklestein test helped in diagnosing this condition. The participants who experienced pain at the wrist, over the extensor pollicis brevis and abductor pollicis longus tendons were considered positive for tenosynovitis. Frequency and percentages were calculated for categorical variables. Results: The results showed that the frequency of de Quervain’s tenosynovitis with positive Finklestein’s test was 50.45%, 25.2% for worst ever pain, 26.2% with repetitive wrist movements and 25.2% while doing work job in carpenters of Lahore. The Finklestein’s test was positive in 71 (69%) carpenters and 32 (31%) showed a negative test. The mean pain score for positive Finkelstein’s test was 6.93±20.40 and for negative F test was 5.24±15.91. The difference was statistically significant at p<0.001. Among carpenters, age and work duration were strongly correlated (r=0.807) and there is a moderate correlation between age and the total score (r=0.78). Conclusion: It was concluded that most carpenters have a moderate level of pain during repetitive wrist movements while working. While a majority of the carpenters have positive Finkelstein’s test. Significant results were found showing moderate pain levels with positive tests. A strong correlation was found between age and duration of work.

*Corresponding Author: Maira Saadat, Neuron Health Service, UK, Email: saadatmaira7@gmail.com

Citation: Saadat M. 2021. Frequency of de Quervain’s tenosynovitis in carpenters of Lahore. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 1(2):68-75.