De Qeurvian Tenosynovitis:Cinical Outcomes of Surgical Treatment with Longitudinal and Transverse Incision

Abrisham, Seyed Mohammad Jalil; Karbasi, Mohammad Hosein Akhavan; Zare, Jalil; Behnamfar, Zahra; Tafti, Arefeh Dehghani; Shishesaz, Behzad

doi:10.5001/omj.2011.23

Cited by 26 publications

(30 citation statements)

References 6 publications

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“…Bouras et al (25) reported in their series of 20 cases that the outcomes were close to perfect after open surgery, and they showed that complication was not seen using a longitudinal incision. Abrisham et al (26) also reported that open surgery was superior, and a longitudinal incision was better than transverse incision after a five-year follow-up period. In our study, an oblique or transverse incision was used, and no complications were observed.…”

Section: Discussionmentioning

confidence: 96%

Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis

Acar¹,

Memik²

2019

Eurasian J Emerg Med

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A total of 82 patients (65 females, 17 males) who were admitted between January 2013 and April 2015 were homogeneously divided into two equal groups. There were 42 patients (35 females, 7 males) in the first group and 40 patients (30 females, AbstractAim: This study aimed to compare steroid injection and open surgery in the treatment of De Quervain's tenosynovitis. , a total of 82 patients (65 females, 17 males; mean age=40.3 years; range, 20 to 71 years) who were admitted were included retrospectively. The patients were assigned into two groups, including group I undergoing open surgery, and group II receiving steroid injections. The rates of recurrence and satisfaction were evaluated. The patients undergoing surgery were also evaluated for the wound site infection, nerve injury, wound opening, and limited range of motions of the joints. The patients receiving steroid injections were evaluated for subcutaneous atrophy, fat necrosis, weakening or rupture of tendons, and depigmentation. Results:The mean follow-up was 12 months (range: 6 to 22). Recurrence occurred in eight patients (20%) in the steroid injection group; however, no recurrence was seen in patients undergoing open surgery. Satisfactory or very satisfactory results were achieved in all patients in the surgery group (p=0.04). There were no complications in both groups. Conclusion:Although steroid injection is a therapeutic option in De Quervain's tenosynovitis, open surgery appears to be a more beneficial method with relatively low recurrence and complication rates.

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Section: Discussionmentioning

confidence: 96%

Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis

Acar¹,

Memik²

2019

Eurasian J Emerg Med

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“…On the other hand, the longitudinal incision is advocated over the transverse incision for De Quervain's disease because of less complications, including less hypertrophic scars. (10,11) Page 3 of 9…”

Section: Introductionmentioning

confidence: 99%

Transverse or longitudinal? A survey of volar wrist incision preferences

Siow¹,

Tong²,

Satku³

et al. 2020

smedj

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Introduction:In volar wrist surgery, the traditional longitudinal incision leaves a scar that may be considered cosmetically unpleasant. Recent studies suggest that transverse wrist incisions result in more aesthetically pleasing scars that are well hidden in the wrist crease. The aim of our study was to explore the public's perceptions of longitudinal versus transverse wrist scars. Methods:A prospective survey was conducted among the general public. Inclusion criteria were patients aged over 18 years with no prior surgery to the wrist. Survey questions assessed included: (a) longitudinal or transverse scar preference; (b) reasons for preference; and (c) demographic information. Results: There were 107 respondents from the general public. More respondents preferred longitudinal scars. Top three reasons for longitudinal scar preference were: (a) perceived damage to wrist structures by a transverse incision; (b) better cosmesis; and (c) scar from the transverse incision appearing like a self-inflicted injury. Top three reasons for transverse scar preference were: (a) easily concealed by accessories; (b) less noticeable; and (c) better cosmesis. Respondents aged 60 years and above were most concerned about possible damage to wrist structures; younger respondents were most concerned that transverse scars appeared like self-inflicted injuries. Conclusion: Respondents from the general public preferred a longitudinal scar to a transverse one. Younger respondents were most concerned about how the transverse scar appeared like a self-inflicted injury while older respondents were most concerned with perceived functional implications of the incisions.

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“…Indeed, incomplete pain relief have been described by different authors whatever the procedure. [14][15][16] • Concerning the devices:…”

Section: Discussionmentioning

confidence: 99%

“…Different open procedures have been described 14,15 and most authors prefer a transversal skin incision 1.5-to 3cm long, over the radial styloid. The main complications are sensory disorders: up to 35% of patients have transient symptoms of superficial radial nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided de Quervain's Tendon Release, Feasibility, and First Outcomes

Croutzet¹,

Guinand²,

Marès³

et al. 2019

Jnl Wrist Surg

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Background de Quervain's syndrome is one of the main tendonitis of the wrist. The hypothesis of authors was that de Quervain's syndrome could be successfully treated with a specific ultrasound-guided percutaneous procedure, as it is for trigger finger. Surgical Technique Identification of the subcompartmentalization of the first extensor compartment was performed first, using the Hiranuma's classification, prior to the surgery. Then, we assessed precisely the positions of the sensory branches of the radial nerve and drew the landmarks. Through a continuous ultrasound in-plane control, we performed a percutaneous retrograde section of each part of the first compartment of the extensors, using a dedicated surgical blade. Methods In a cadaveric study, authors proposed to assess the feasibility and safety of a new and specific procedure and then assessed their first clinical cases. Fourteen specimen wrists were analyzed with ultrasound and the procedure was performed prior to an open control of the efficiency of the release, and safety for the superficial nerves. Then, we reported the results of the 22 first patients included in the clinical series. Results In a cadaver laboratory, authors were able to identify with ultrasound the type of first compartment septation (subcompartmentalization) in 13 cases (n = 14). The misidentification induced one incomplete release. No damages of the superficial radial nerve were observed despite close relationship. In the small series (n = 22), the duration of surgery was 8 minutes (range: 4–18 minutes). It was performed in office surgery and no morbidities were noticed. All patients improved, from quickDASH preoperative score of 59 (range: 28–71) to quichDASH postoperative score of 9 (range: 0–25). Conclusion Ultrasound-guided percutaneous release in the de Quervain's disease is a safe and reliable procedure without specific morbidity. Great care should be taken to avoid sensory nerve injuries and to identify the correct type of subcompartmentalization with a precise ultrasound evaluation.

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De Qeurvian Tenosynovitis:Cinical Outcomes of Surgical Treatment with Longitudinal and Transverse Incision

Abstract: According to our findings, longitudinal incision in surgical treatment of De Quervain disease is better than transverse incision.

Cited by 26 publications

References 6 publications

Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis

Steroid Injection Versus Open Surgery in the Treatment of De Quervain’s Tenosynovitis

Transverse or longitudinal? A survey of volar wrist incision preferences

Ultrasound-Guided de Quervain's Tendon Release, Feasibility, and First Outcomes

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