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De Quervain tenosynovitis — DOccMed MCQ

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HardMusculoskeletal DisordersDe Quervain tenosynovitisDOccMed

A 34-year-old florist has radial wrist pain after peak wedding-season work involving repetitive bouquet tying and thumb abduction. Finkelstein test is positive; there is no numbness or finger blanching. What is the most likely occupational diagnosis?

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Correct answer: D — De Quervain tenosynovitis related to repetitive thumb movement

Radial wrist pain with a positive Finkelstein test points to De Quervain tenosynovitis. The repetitive thumb abduction and gripping exposure is occupationally relevant. Carpal tunnel syndrome would cause sensory symptoms in the median distribution. HAVS requires significant vibration exposure and usually includes vascular or neurological symptoms.

Reference: HSE Upper limb disorders guidance; RIDDOR occupational diseases guidance