April 22, 1968

de Quervain's Disease

JAMA. 1968;204(4):341. doi:10.1001/jama.1968.03140170057026

To the Editor:—  Tenovaginitis of the first dorsal compartment of the wrist involving the abductor pollicis longus and the extensor pollicis brevis tendons is commonly encountered by orthopedic and hand surgeons. This affliction, known as de Quervain's disease, is usually seen in adults. Females reportedly predominate by ratios of eight or ten to one.It is curious that the literature makes no reference to this disease in children. In fact, the youngest age at which this condition has previously been reported is 20 years of age.1 Lapidus reported that of 432 patients with tenovaginitis only 3.5% were encountered in children up to 10 years of age, and in all these the involvement was of the flexor pollicis longus tendon.2 Against this background we present here an abstract of this unusual case.

Report of a Case:—  A 2-year-old Negro child was referred to the hospital because of a tender