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Это воспаление двух сухожилий, ответственных за сгибание большого пальца, и их оболочек [1](https://HimkiMed.ru/zabolevaniya/bolezn-de-kervena.html). \n\nНазвание получила в честь швейцарского хирурга Фрица де Кервена, который посвятил свою профессиональную деятельность изучению этого заболевания и впервые провёл операцию по освобождению сухожилий кисти [3](https://temed.ru/articles/bolezn-de-kervena/).\n\n\n\n## Причины\nТочная причина развития болезни де Кервена не установлена [3](https://temed.ru/articles/bolezn-de-kervena/). Некоторые провоцирующие факторы: \n* **Повторяющиеся движения кисти** — работа за компьютером, игра на музыкальных инструментах, шитьё, столярные работы, спортивные нагрузки (теннис, бадминтон, гольф) [6](https://imedcentre.com/imedorthopedics/tpost/xszdbvj111-lechenie-bolezni-de-kervena-ot-pervih-si). \n* **Бытовые факторы** — ношение детей на руках, работа в саду, вязание [6](https://imedcentre.com/imedorthopedics/tpost/xszdbvj111-lechenie-bolezni-de-kervena-ot-pervih-si). \n* **Прямые травмы запястья** и растяжения сухожилий [2](https://doct.ru/diseases/bolezn-de-kervena.html). \n* **Воспалительные заболевания** (например, ревматоидный артрит) [2](https://doct.ru/diseases/bolezn-de-kervena.html).\n\n## Симптомы\nНекоторые симптомы болезни де Кервена: \n* **Боль** в области лучезапястного сустава со стороны большого пальца, усиливается при движениях, особенно при разгибании и отведении [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n* **Отёк и припухлость** в области лучезапястного сустава со стороны большого пальца [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n* **Ограничение подвижности** большого пальца и кисти [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n* **Затруднение при удержании предметов** большим и указательным пальцами [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n\nНа начальных стадиях боль может быть несильной и возникать только при определённых движениях, но по мере прогрессирования болезни боль становится постоянной [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/).\n\n## Диагностика\nДля постановки диагноза проводят: \n* **Осмотр и пальпацию** — сравнение обеих кистей позволяет выявить отёк и болезненность в области лучезапястного сустава со стороны большого пальца [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n* **Тест Финкельштейна** — пациента просят прижать большой палец к ладони и сжать его остальными пальцами, после чего отклонить кисть в сторону мизинца [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). Появление резкой боли в области поражения свидетельствует о наличии болезни де Кервена [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). \n* **Оценка подвижности** — врач оценивает объём движений в кисти и большом пальце, выявляет ограничения отведения и разгибания пальца [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/).\n\n## Лечение\nЛечение болезни де Кервена направлено на снятие боли, воспаления и восстановление функции кисти [11](https://mc-salveo.ru/news/bolezn-dekervena-ulyanovsk/). Некоторые методы: \n* **Консервативная терапия** — назначение противовоспалительных препаратов, физиотерапии, ортезов и иммобилизации поражённого сустава [10](https://zdravclinic.ru/bolezni/bolezn-de-kervena/). \n* **Локальные инъекции** с анестетиками и кортикостероидами — снимают воспаление и снижают болевой синдром [10](https://zdravclinic.ru/bolezni/bolezn-de-kervena/). \n* **Физиотерапия** — специальные упражнения на растяжку, укрепление мышц и повышение подвижности поражённого сустава [10](https://zdravclinic.ru/bolezni/bolezn-de-kervena/). \n* **Ограничение травматических нагрузок** на поражённую кисть и временное ограничение движения — предотвращает дальнейшее повреждение и заживление [10](https://zdravclinic.ru/bolezni/bolezn-de-kervena/). \n* **Хирургическое вмешательство** — проводится в случае неэффективности консервативного лечения или прогрессирования заболевания (разрезание тендовагинов, удаление рубцовых тканей или реконструкция) [10](https://zdravclinic.ru/bolezni/bolezn-de-kervena/).","linksData":[{"sourceId":1,"url":"https://HimkiMed.ru/zabolevaniya/bolezn-de-kervena.html","shownUrl":"https://HimkiMed.ru/zabolevaniya/bolezn-de-kervena.html","title":"Болезнь де Кервена: симптомы и лечение лучезапястного сустава в Химках","shortUrl":"HimkiMed.ru","isTranslated":false,"description":"","greenUrl":"HimkiMed.ru"},{"sourceId":2,"url":"https://doct.ru/diseases/bolezn-de-kervena.html","shownUrl":"https://doct.ru/diseases/bolezn-de-kervena.html","title":"Болезнь де Кервена - причины, симптомы, диагностика и лечение","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":3,"url":"https://temed.ru/articles/bolezn-de-kervena/","shownUrl":"https://temed.ru/articles/bolezn-de-kervena/","title":"Болезнь де Кервена: симптомы и лечение, как лечить синдром Кервена в кисти | Клиника Temed","shortUrl":"temed.ru","isTranslated":false,"description":"","greenUrl":"temed.ru"},{"sourceId":4,"url":"https://mhkkhv.ru/zabolevaniya/bolezn-de-kervena","shownUrl":"https://mhkkhv.ru/zabolevaniya/bolezn-de-kervena","title":"Лечение болезни де Кервена в Хабаровске","shortUrl":"mhkkhv.ru","isTranslated":false,"description":"","greenUrl":"mhkkhv.ru"},{"sourceId":5,"url":"https://centr-hirurgii.ru/surgery/operativnaya-travmatologiya-ortopediya/bolezn-de-kervena/","shownUrl":"https://centr-hirurgii.ru/surgery/operativnaya-travmatologiya-ortopediya/bolezn-de-kervena/","title":"Болезнь де Кервена: симптомы, причины и методы лечения заболевания в Центре Хирургии «СМ-Клиника»","shortUrl":"centr-hirurgii.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii.ru"},{"sourceId":6,"url":"https://imedcentre.com/imedorthopedics/tpost/xszdbvj111-lechenie-bolezni-de-kervena-ot-pervih-si","shownUrl":"https://imedcentre.com/imedorthopedics/tpost/xszdbvj111-lechenie-bolezni-de-kervena-ot-pervih-si","title":"Болезнь де Кервена: как распознать и вылечить воспаление сухожилий большого пальца","shortUrl":"imedcentre.com","isTranslated":false,"description":"","greenUrl":"imedcentre.com"},{"sourceId":7,"url":"https://www.mediasphera.ru/issues/vestnik-travmatologii-i-ortopedii-im-n-n-priorova/2019/3/1086986782019031054","shownUrl":"https://www.mediasphera.ru/issues/vestnik-travmatologii-i-ortopedii-im-n-n-priorova/2019/3/1086986782019031054","title":"Болезнь де Кервена (этиология, патогенез, диагностика и лечение). 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