What are the risk factors for tenosynovitis (inflammation of the tendon) of the hand?

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Last updated: May 8, 2025View editorial policy

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From the Guidelines

Hand tendonitis risk factors include repetitive hand movements, forceful gripping, awkward wrist positions, and vibration exposure, particularly in occupations like assembly line work, construction, and computer use. Age increases risk as tendons lose elasticity over time, while conditions like diabetes, rheumatoid arthritis, and gout create additional vulnerability 1. Previous hand injuries or surgeries can predispose individuals to tendonitis, as can anatomical factors like carpal tunnel narrowing. Poor ergonomics at workstations significantly contributes to tendon strain, while inadequate rest between activities prevents proper tissue recovery. Obesity places extra stress on tendons, and smoking impairs blood flow and healing. Certain medications like fluoroquinolone antibiotics may increase tendon rupture risk. Prevention strategies include regular breaks during repetitive tasks, proper ergonomic equipment, stretching exercises, maintaining a healthy weight, and promptly addressing early symptoms like pain or stiffness to prevent progression to chronic tendonitis.

Some key points to consider:

  • Repetitive hand movements and forceful gripping are common risk factors for hand tendonitis 1
  • Age and certain medical conditions, such as diabetes and rheumatoid arthritis, can increase the risk of developing hand tendonitis 1
  • Poor ergonomics and inadequate rest can contribute to tendon strain and prevent proper tissue recovery 1
  • Obesity and smoking can impair tendon health and increase the risk of tendonitis 1
  • Prevention strategies, such as regular breaks and proper ergonomic equipment, can help reduce the risk of developing hand tendonitis 1

It's worth noting that the most recent and highest quality study, 1, highlights the importance of ultrasonography in evaluating tendon injuries, including hand tendonitis. However, the study does not specifically address risk factors for hand tendonitis. Therefore, the recommendation is based on the available evidence from previous studies, with a focus on the most recent and relevant information.

From the Research

Risk Factors for Hand Tendonitis

There are no direct research papers provided to assist in answering this question about the risk factors for hand tendonitis. However, some studies mention tendonitis in the context of other conditions:

  • A study on repetitive strain injury 2 mentions that tendonitis of the wrist or hand is one of the specific disorders included in the term repetitive strain injury.
  • The study suggests that the diagnosis of upper limb disorders, including tendonitis, is usually made on the basis of history and clinical examination, and that little is known about the effectiveness of treatment options for these disorders.

Related Conditions

Some studies provided discuss conditions related to hand tendonitis, such as gout and repetitive strain injury:

  • A study on gout 3 discusses the use of non-steroidal anti-inflammatory drugs (NSAIDs) for treating acute gout, but does not mention hand tendonitis specifically.
  • A study on repetitive strain injury 2 mentions that exercise is beneficial for non-specific upper limb disorders, and that immobilising hand braces and open carpal tunnel surgery release are beneficial for carpal tunnel syndrome, which may be related to hand tendonitis.

Treatment Options

Some studies discuss treatment options that may be relevant to hand tendonitis:

  • A study on gout 3 discusses the use of NSAIDs, cyclo-oxygenase-2 (COX-2) inhibitors, and glucocorticoids for treating acute gout, which may be relevant to treating hand tendonitis.
  • A study on repetitive strain injury 2 mentions that topical and oral non-steroidal anti-inflammatory drugs, and corticosteroid injections are helpful for lateral epicondylitis, which may be related to hand tendonitis.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Repetitive strain injury.

Lancet (London, England), 2007

Research

Non-steroidal anti-inflammatory drugs for acute gout.

The Cochrane database of systematic reviews, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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