Focal Radial Styloid Abnormality as a Manifestation of de Quervain Tenosynovitis
Alexander J. Chien1,
Jon A. Jacobson1,
William Martel1,
Mohammed U. Kabeto2 and
David R. Marcantonio1,3
1
Department of Radiology, University of Michigan Medical Center, 1500 E.
Medical Center Dr., TC-2910G, Ann Arbor, MI 48109-0326.
2
Consortium for Health Outcomes, Innovation, and Cost Effectiveness Studies,
University of Michigan, 300 N. Ingalls Bldg., 3A14, Ann Arbor, MI
48109-0409.
3
Present address: Georgia West Imaging, 605 Dixie St., Carrollton, GA
30117.

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Fig. 1. 29-year-old woman with de Quervain tenosynovitis.
Posteroanterior wrist radiograph shows focal radial styloid periosteal bone
apposition (arrow). Each observer graded this finding as
"probably abnormal."
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Fig. 2. 75-year-old man with de Quervain tenosynovitis.
Posteroanterior wrist radiograph shows focal radial styloid periosteal bone
apposition and cortical erosion (arrow). One observer graded this
finding as "definitely abnormal"; the other, as
"equivocal."
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Fig. 3A. 70-year-old woman with de Quervain tenosynovitis.
Posteroanterior wrist radiograph of symptomatic wrist shows cortical erosion
and sclerosis (solid arrows) with adjacent soft-tissue swelling
(open arrow). Note that soft tissues were masked at time of study.
Each observer graded this finding as "definitely abnormal."
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Fig. 3B. 70-year-old woman with de Quervain tenosynovitis.
Contralateral radiograph of asymptomatic wrist shows no abnormal findings.
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Fig. 4. 48-year-old asymptomatic man. Posteroanterior wrist
radiograph shows normal contour bulge at level of epiphyseal remnant
(arrow). Each observer graded findings as "normal."
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Copyright © 2001 by the American Roentgen Ray Society.