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8/19/2019 De Quervain's Tenosynovitis-Qatar

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MO W_OQTGHJ‘R

]OJMLJH]HR

Elngjj Dromrhbn (bgiiom Drhtz) mo

Wuorvghj (7>4>-78=;) wgs drlc

Rwhtzorigjm. No wgs gsshstgjt tnoj

subbosslr ld @lbnor.



MO W_OQTGHJ‘R ]OJLRXJLTH]HR

! No mosbrhaom

tno mhsogso hj

7>8?, gjm

hccomhgtoiycg`os tno ihj`

whtn trhffor

jfors



GJG]LCX

! Lstol-arlus tujjoi lj tno

mlrsl-rgmhgi gspobt ld tno

wrhst

! Bljtghjs twl tojmljs5

! Gamubtlr pliihbhs iljfus

! Oxtojslr pliihbhs arovhs- Io rèthjgbuiuc

1 tojmljs



GJG]LCHBGI TGQHG]HLJR

! G[I ngs drlc 1 tl 8 tojmhjlus sihps

! Clst ldtoj 1 - = sihps hj 8=% ld bgsos hj g

surfhbgi sorhos (Chjhch`gwg, 7887)

! O[A gasojt hj ?-6% ld bgsos

7

1

2



GJG]LCHBGI TGQHG]HLJR

! ]noro hs g soptuc tngt mhvhmos ohtnor tltgiiy lr

pgrthgiiy tno 7st blcpgrtcojt hj twl pgrts

Roptuc

O[A

G[I



DQOW_OJBX LD ]NO RO[]_C

! Bljtrhauthjf dgbtlr dlr Mo Wuorvghj‘s tojlsyjlvhths

! Bljtrhauthjf dgbtlr dlr dghiuros ld comhbgi trogtcojt

Cogj

Gjgtlchbgi stumhos

77 18 % tl 66,?%=4 %

Rurfhbgi sorhos

7; stumhos =4 tl 87%46 %



MO W_OQTGHJ‘R ]OJLRXJLTH]HR

! Ruddorhjf ld tno G[I gjm/lr

O[A hj tno 7st

blcpgrtcojt ld tno

oxtojslrs ujmor g

tnhb`ojom snogtn (1 cc vs

;,=2 hj tno bljtrli frlup)



BIHJHBGI RHFJR

! Rwoiihjf +/- fgjfihlj

! Rpljtgjolus pghj gjm murhjf

prosshlj

! [ghj murhjf roshstom oxtojshlj

! [ghj murhjf pgsshvo tojshlj

(Dhj`oistohj‘s, Ohsbnldd's, Arujoiih ‘s

shfjs, VNG],…)

! Qgroiy5

! Qgmhgi gplpnyshths

! Ruporbhgi rgmhgi jorvo ojtrgpcojt

/Hrrhtgthlj (Cgtzmlrdd‘s syjmrlco)



[QLTLBG]HTO CGJO_TOQR

! ]noy pigbo tno tojmlj(s) ujmor tojshlj hjtl tno snogtn

! Ljo usugiiy chstg`os aotwooj Ohsbnldd‘s cgjouvor (7816) whtn tnlso mosbrhaom

ay (782;) Pwnhbn gro vory bilsoS



[QLTLBG]HTO CGJO_TOQR

! Ohsbnldd5 arutgi pigbocojt ujmor tojshlj (uijgr

hjbihjgthlj) ld tno G[I tojmlj

Ohsbnldd



]OR] LD AQ_JOIIH

! Vluim ao gro probhso gs tojmljs

whii rua gfghjst tno puiioy, jlt tno

rgmhus

! Jl sbhojthb pgpor tl vgihm tnhs

nypltnoshs

Arujoiih F5 Io tost mo Dhj`oistohj bljtro io tost mo

Arujoiih mgjs ig tojlsyjlvhto mo Mo Wuorvghj. Bnhr

Cghj 1;;2011075=2-=?



TGIHMH]X LD ]NO ]OR]R

! Vrhst nyporfioxhlj tnuca gamubthlj wluim co clrosojshaio gjm clro spobhb

Rojshahihty Rpobhbhty

Ohsbnldd-

Dhj`oistohj>8 % 7= %

VNG] tost 88

% 18

%

Fluagu E ot gi. ]no wrhst nyporfioxhlj gjm gamubthlj ld tno tnuca (VNG]) tost5 g clro spobhb gjm sojshthvo

tost tl mhgfjlso mo Wuorvghj tojlsyjlvhths tngj tno Ohbnnldd's ]ost. E Ngjm Rurf Our 1;7= Cgr028(2)51>4-81



BGJ VO @JLV VNHBN ]OJMLJ HR CLQO HJTLITOM <

! hd pghj hs clro hjtojso hj

roshstom oxtojshlj ld tno

tnuca tngj hj roshstom

pgicgr gamubthlj

! Rnluim ovlquo O[A

suddorhjf clro tngj G[I

! Rojshahihty >7%, spobhbhty

?;%

Gioxgjmor QM, Bgtgigjl IV, Agrrlj LG, Fihb`oi RU5 ]no oxtojslr pliihbhs arovhs ojtrgpcojt tost hj tno

trogtcojt ld mo Wuorvghj‘s mhsogso. E Ngjm Rurf PGcS 1;;10165>72‒>74.



GQO HCGFHJF ]OBNJHW_O JOBORRGQX <

! ^-rgys gro usoioss

! Cgy snlw gplpnyshths, ilbgihzom

lotlpojhg, g aljo aucp

! Vhtnlut roigthlj whtn bihjhbgi

shfjs jlr rosuits ld trogtcojt

! Rljlfrgpny : CQH



]nhb`ojhjf ld tno rothjgbuiucgsycptlcgthb shmo

sgf vhow

Gxhgi vhow

gsycptlcgthb

shmo

7;;% ld bgsos



]NHB@OJHJF LD ]NO QO]HJGB_I_C VH]N G FGJFIHLJ



NX[OQTGRB_IGQHUG]HLJ VH]N ML[[IOQ

]ojmlj]nhb`ojhjf



BLJR]QHB]HLJ ODDOB]

Cgss oddobt lvor tno tojmljs3 : Uljo ld cgxhcuc bljstrhbthlj ld

tojmljs

Giilws (slcothcos) tno vhsugihzgthlj ld tno soptuc gjm/lr tno shto ld

tno bljstrhbthlj

ihquhmQ

ihquhm



MO W_OQTGHJ‘R ]OJLRXJLTH]HR5 COMHBGI ]QOG]COJ]

! Gsslbhgthlj ld5

! Rpihjt

! Rtorlhm Hjeobthlj,

! JRGHMs

! Rupprosshlj ld g prlvlbgthvo clvocojt

! Hs vory odbhojt



QOR_I]R LD COMHBGI ]QOG]COJ]

Ljiy

hjeobthlj

Hjeobthlj +

Rpihjt

Ljiy

spihjtJRGHMs

Ljiy

rost

Qgto ld

buro>2% 47% 7=% ;% ;

%

?;% gro

sthii burom

gt 7 yogr

roburrojbo

aodlro tno

4tn cljtns

G plliom qugjthtgthvo ihtorgturo ovgiugthlj Qhbnho, 1;;2, E Gc Algrm Dgc [rgbt



BLC[IHBG]HLJR LD R]OQLHM HJEOB]HLJR

! R`hj suddorhjf

! usugiiy rosliuthvo

! Ml jlt cuithpiy hjeobthljs, snluimao «

moop

°

! ujmor sljlfrgpnhb bljtrli <



MO W_OQTGHJ‘R ]OJLRXJLTH]HR5 R_QFHBGI ]QOG]COJ]

! ]rgvorso (clro blscothb)

gpprlgbn / iljfhtumhjgi

! Rnluim soo gjm prltobt tno rgmhgi

jovo




! Lpoj tno plstorhlrpgrt ld tno 7st

blcpgrtcojt




! Qoiogso tno droquojt soptuc aotwoojO[A gjm G[I +++

! Torhdy tngt altn tojmljs ngvo aooj

roiogso +++

! ]rgbthlj lvor tno O[A

! ]rgbthlj lvor tno G[I (cgjy sihps)

! Bljtrli gasojbo ld gjtorhlr tojmlj

mhsilbgthlj

! Ryjlvobtlcy hd jobossgry




! Dhxgthlj ld tno plstorhlr omfo ld

tno rothjgbuiuc tl tno morchs

! sua-buthbuigr rujjhjf suturo

! Qoigthvo rost murhjf tno plst-lp

porhlm



OJMLRBL[HB ]QOG]COJ]

! Mr Mosclhjogux

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