Stenosing tenosynovitis of the first dorsal compartment of wrist
Most are middle aged women
Repetitive thumb movements
- abduction & extension
- combined with RD & UD movements
Any mechanical irritation
- foreign body
- prominent bony surface
- restricted fascial compartment
Idiopathic inflammatory condition
- characterised by progressive shoulder pain & stiffness
- due to contracture of capsuloligamentous structures
- spontaneously resolves
2% incidence
- 40 - 60 years
- Women 2:1
Sedentary workers
- Non-dominant limb
Bilateral in 10 - 40%
Painful restriction of dorsiflexion of the great toe
- secondary to degenerative changes in MTPJ
- initially pain and synovitis
- osteophytes don't form medially or on plantar aspect
Two peaks
1. Adolescence F > M
2. Middle Age M > F
Often Idiopathic
Trauma