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Incidence of de Quervain's tenosynovitis in a young, active population.
J Hand Surg Am 2009; 34(1):112-5JH

Abstract

PURPOSE

De Quervain's tenosynovitis is thought to occur most frequently in women, with presentation of pain and swelling in the first dorsal extensor sheath. The epidemiology of this extensor tendinitis is not well described. We evaluated the incidence and demographic risk factors for de Quervain's tenosynovitis using a large database of military personnel.

METHODS

The Defense Medical Epidemiology Database (DMED) collects International Classification of Diseases, 9th Revision, and Clinical Modification (ICD-9-CM) coding information for every patient encounter occurring for United States military personnel. We queried the DMED system by race, gender, military service, rank, and age for the years 1998-2006 using the ICD-9 code 727.04, limiting data to first presentations. Multivariate Poisson regression was used to estimate the rate of de Quervain's tenosynovitis per 1000 person-years, as well as incidence rate ratios and 95% confidence intervals.

RESULTS

There were 11,332 cases of de Quervain's tenosynovitis in the population at risk of 12,117,749 person-years. Women had a significantly higher rate of de Quervain's tenosynovitis at 2.8 cases per 1000 person-years, compared to men at 0.6 per 1000 person-years. Age greater than 40 was also a significant risk factor, with this age category showing a rate of 2.0 per 1000 person-years compared to 0.6 per 1000 in personnel under 20 years. There was also a racial difference, with blacks affected at 1.3 per 1000 person-years compared to whites at 0.8.

CONCLUSIONS

In analysis of a large population, we have described the epidemiology of stenosing tenosynovitis of the first extensor compartment. Risk factors for de Quervain's in our population include female gender, age greater than 40, and black race.

TYPE OF STUDY/LEVEL OF EVIDENCE

Prognostic II.

Authors+Show Affiliations

Department of Orthopaedics, University of Colorado School of Medicine, Denver, Colorado 80045, USA. Jennifer.Wolf@ucdenver.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19081683

Citation

Wolf, Jennifer Moriatis, et al. "Incidence of De Quervain's Tenosynovitis in a Young, Active Population." The Journal of Hand Surgery, vol. 34, no. 1, 2009, pp. 112-5.
Wolf JM, Sturdivant RX, Owens BD. Incidence of de Quervain's tenosynovitis in a young, active population. J Hand Surg Am. 2009;34(1):112-5.
Wolf, J. M., Sturdivant, R. X., & Owens, B. D. (2009). Incidence of de Quervain's tenosynovitis in a young, active population. The Journal of Hand Surgery, 34(1), pp. 112-5. doi:10.1016/j.jhsa.2008.08.020.
Wolf JM, Sturdivant RX, Owens BD. Incidence of De Quervain's Tenosynovitis in a Young, Active Population. J Hand Surg Am. 2009;34(1):112-5. PubMed PMID: 19081683.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of de Quervain's tenosynovitis in a young, active population. AU - Wolf,Jennifer Moriatis, AU - Sturdivant,Rodney X, AU - Owens,Brett D, Y1 - 2008/12/10/ PY - 2008/06/22/received PY - 2008/08/21/revised PY - 2008/08/26/accepted PY - 2008/12/17/entrez PY - 2008/12/17/pubmed PY - 2009/4/25/medline SP - 112 EP - 5 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 34 IS - 1 N2 - PURPOSE: De Quervain's tenosynovitis is thought to occur most frequently in women, with presentation of pain and swelling in the first dorsal extensor sheath. The epidemiology of this extensor tendinitis is not well described. We evaluated the incidence and demographic risk factors for de Quervain's tenosynovitis using a large database of military personnel. METHODS: The Defense Medical Epidemiology Database (DMED) collects International Classification of Diseases, 9th Revision, and Clinical Modification (ICD-9-CM) coding information for every patient encounter occurring for United States military personnel. We queried the DMED system by race, gender, military service, rank, and age for the years 1998-2006 using the ICD-9 code 727.04, limiting data to first presentations. Multivariate Poisson regression was used to estimate the rate of de Quervain's tenosynovitis per 1000 person-years, as well as incidence rate ratios and 95% confidence intervals. RESULTS: There were 11,332 cases of de Quervain's tenosynovitis in the population at risk of 12,117,749 person-years. Women had a significantly higher rate of de Quervain's tenosynovitis at 2.8 cases per 1000 person-years, compared to men at 0.6 per 1000 person-years. Age greater than 40 was also a significant risk factor, with this age category showing a rate of 2.0 per 1000 person-years compared to 0.6 per 1000 in personnel under 20 years. There was also a racial difference, with blacks affected at 1.3 per 1000 person-years compared to whites at 0.8. CONCLUSIONS: In analysis of a large population, we have described the epidemiology of stenosing tenosynovitis of the first extensor compartment. Risk factors for de Quervain's in our population include female gender, age greater than 40, and black race. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II. SN - 1531-6564 UR - https://www.unboundmedicine.com/medline/citation/19081683/Incidence_of_de_Quervain's_tenosynovitis_in_a_young_active_population_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363-5023(08)00736-3 DB - PRIME DP - Unbound Medicine ER -