This narrative review by Adams and Habbu (JAAOS 2015) systematically covers the diagnosis and management of the most common hand and wrist tendinopathies — trigger finger, de Quervain disease, intersection syndrome, EPL/fourth/fifth compartment tenosynovitis, ECU tendinitis, and FCR tendinitis — with condition-specific anatomy, examination maneuvers, and treatment algorithms.
When you see ulnar-sided wrist pain, resist anchoring on TFCC — use the ECU synergy test to isolate ECU tendinitis, and remember that ECU and TFCC pathology frequently coexist.
When de Quervain surgery fails or symptoms recur, the missed EPB subcompartment (present in ~40%) is the most common culprit.
This narrative review by Adams and Habbu (JAAOS 2015) systematically covers the diagnosis and management of the most common hand and wrist tendinopathies — trigger finger, de Quervain disease, intersection syndrome, EPL/fourth/fifth compartment tenosynovitis, ECU tendinitis, and FCR tendinitis — with condition-specific anatomy, examination maneuvers, and treatment algorithms.
When you see ulnar-sided wrist pain, resist anchoring on TFCC — use the ECU synergy test to isolate ECU tendinitis, and remember that ECU and TFCC pathology frequently coexist.
When de Quervain surgery fails or symptoms recur, the missed EPB subcompartment (present in ~40%) is the most common culprit.