The Incidence of DeQuervain’s Tenosynovitis in a Young, Active Population
DeQuervain's Tenosynovitis presents as pain and swelling on the thumb side of the wrist. Specifically it is the first dorsal extensor compartment of the wrist.
The incidence of DeQuervain's Tenosynovitis is not well known; however it is believed to be six times more common in females than males.
Authors of this study evaluated the incidence and demographic risk factors associated with DeQuervain's Tenosynovitis, using a large database of military personnel between 1998 and 2006.
The demographics took into account gender, race, military service, rank and age.
11,332 cases of DeQuervain's Tenosynovitis were reported in a population at risk of 12,117,749 person-years. This worked out to an unadjusted incidence rate of 0.94 per 1000 years.
Gender was the most significant demographic risk factor associated, with the incidence rate for male patients being 0.64 per 1000 person-years, compared to 2.81 for female patients.
Age and race were also significant factors, with older patients predominating incidence rates as well as the African Caribbean participants.
Authors concluded, the main risk factors for DeQuervain's Tenosynovitis in our population were, age, gender and race factors, with an age greater than 40years, the female gender and the African Caribbean race.
In Mike Hayton's practice, he agrees females are more commonly affected, especially those who are pregnant or with young infants that require unaccustomed lifting.
J.M. Wolf, R.X. Sturdivant, B.D. Owens.
Journal of Hand Surgery, Department of orthopaedics, Colorado, New York and Texas