Symptoms of hand synovitis

In fact, synovitis in the hands is quite common, and the incidence rate is getting higher and higher. It mainly occurs among people who often need to use electronic devices. Once it happens, you will feel that your joints cannot bend normally, and even have quite painful symptoms. This is quite uncomfortable, especially when the weather changes, the pain is more severe.

1. Radial styloid stenosing tenosynovitis

Also known as de Ouervains disease, it is characterized by pain on the radial side of the wrist that is closely related to thumb movement. This disease is more common in women over 40 years old, but it can also occur in breastfeeding women.

2. Stenosing tenosynovitis of the flexor tendon

It often occurs on the thumb, middle and ring fingers, and the age of onset is generally over 40 years old. In the early stage of the disease, snapping and pain occur when the fingers are flexed and extended, so it is also called "trigger finger". Patients often report inflexible joint movement and swollen joints. In severe cases, the joint is locked in flexion or extension, and the joint cannot be straightened or flexed. This disease occasionally occurs in children, with the thumbs on both sides in a flexed position and unable to be actively straightened. In mild cases, the thumb can be straightened through local massage when the child is asleep. In severe cases, the thumb cannot be straightened even passively.

3. Myosinitis

Also known as gravel myothelial myociitis. When wrist activity increases, redness, swelling, heat, and local tenderness appear on the proximal side of the back of the wrist, and pressure may produce crackling or snow-stepping sounds.

4. Ulnar extensor carpi tenosynovitis

It is one of the causes of ulnar wrist pain. The extensor carpi ulnaris tendon and surrounding sheath play an important role in supporting the distal radioulnar joint and the triangular fibrocartilage complex of the wrist. When the wrist is too active, repeated pulling or spraining may induce pain on the ulnar side of the wrist, especially soreness and weakness in the wrist when exerting force.

5. Myosinitis

Most symptoms can disappear by immobilizing the wrist, applying local hot compresses, and performing local physical therapy or local blockade when necessary. If the symptoms recur over a long period of time, the peritendinous and synovial tissues become thicker, and local bulges occur, surgical treatment may be considered to remove the thickened synovium and fascia.

6. Ulnar extensor carpi tenosynovitis

In the early stage, immobilization or local closure is required, and in the late stage, synovectomy or partial sheath resection is performed. Similarly, similar symptoms may occur in the radial and ulnar flexor wrist muscles, often caused by corresponding tenosynovitis. If the disease recurs, patients may also consider surgical treatment.