Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic radial-sided wrist pain, exacerbated by thumb abduction and grasping motions. Symptoms are localized to the first dorsal compartment. No history of acute trauma; onset is insidious, consistent with repetitive strain.
Clinical Examination Findings
Physical examination reveals localized tenderness and swelling over the radial styloid. Finkelsteinโs test is positive, eliciting sharp pain along the APL and EPB tendons. No neurovascular deficits noted in the radial nerve distribution.
Treatment Protocol
Conservative management initiated: immobilization with a thumb spica splint, NSAIDs, and activity modification. If refractory, consider corticosteroid injection into the first dorsal compartment sheath or surgical release of the extensor retinaculum.