Incidence of a septum within the first dorsal compartment of the wrist

Leslie, Bruce M.; Ericson, William B.; Morehead, James R.

doi:10.1016/s0363-5023(09)91111-x

Cited by 98 publications

(71 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus presence of synovial sheath thickening and fluid within the sheath in the presence of relevant history and Clinical finding can be considered diagnostic of this condition. A similar finding was reported by Francesco Giovagnerio (1997) [9] in his study who noted thickening and edema of the synovial sheath and fluid within the sheath in all his cases.…”

Section: Discussionsupporting

confidence: 91%

Role of preoperative ultrasonography in De Quervain’s disease

Bhat¹,

Cr²,

Harsharaj³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Background: Fritz De Quervain first described the tenosynovitis of first extensor compartment tendons of abductor pollicis longus and extensor pollicis brevis and hence the affection bears his name. Clinically characterized by pain and swelling over the Radial styloid process, a positive finkelstein test and accompanied by a palpable thickening of the tendon sheaths and painful wrist and thumb movements. The diagnosis is usually clinical and the treatment varies from conservative to surgical decompression of the first extensor compartment. Materials and Methods: This is a prospective study of 28 patients of de Quervain's tenosynovitis involving 30 wrists treated in Father Muller Medical College and Hospital, Mangalore between 1 July 2015 and 30 September 2016 Results: Total 28 patients and 30 wrists were examined in this study. The disease was found to be more common in fourth and fifth decade of life. In our study there were 23 females out of total 28 patients. Right wrist was more commonly affected than the left. Out of 28 patients 18 underwent surgery. Total 20 wrists out of 30 were surgically decompressed. Ultra sound showed the presence of single tendon of APL in 16 wrists (53.3%) and more than 1 tendon in 14 cases (46.7%).Out of 20 wrists which were operated 12 had 2 slips of APL and 8 had one slip of APL. Ultra sound correctly identified the number of tendons in all except one case, in which it under diagonosed the number of tendons. Conclusion: Though ultrasound could not pick up a sub compartment it can still prevent the complication of incomplete surgical release as it correctly identifies the number of tendons. We strongly recommend looking for a sub compartment when the number of tendons seen on ultrasound is more than that found on table.

show abstract

Section: Discussionsupporting

confidence: 91%

Role of preoperative ultrasonography in De Quervain’s disease

Bhat¹,

Cr²,

Harsharaj³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…In 6 out of 20 wrists which were operated EPB was found to be in a separate compartment (30%). This is in agreement with the study of Kean Cohen [7] and Bruce Leslie [10] . J. Bahm [8] reported a higher incidence of separate compartment (60%).…”

Section: Separate Compartmentsupporting

confidence: 92%

To study the role of ultrasonography in diagnosis, management and prevention of incomplete surgical release in patient’s of de Quervain’s disease

Pinto¹,

Harsharaj²,

Braggs³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Background: Fritz de Quervain, in 1895, described the tenosynovitis of first extensor compartment tendons of abductor pollicis longus and extensor pollicis brevis. Clinically characterized by pain and swelling over the radial styloid process, a positive finkelstein test and accompanied by a palpable thickening of the tendon sheaths and painful wrist and thumb movements. The diagnosis is usually clinical and the treatment varies from conservative to surgical decompression of the first extensor compartment. Materials and Methods: This is a prospective study of 28 patients of de Quervain's tenosynovitis involving 30 wrists treated in Father Muller Medical College and Hospital, Mangalore between 1 September 2015 and 30 November 2016. Results: A total of 28 patients and 30 wrists were examined in this study. The disease was found to be more common in fourth and fifth decade of life. In our study there were 23 females out of total 28 patients. Right wrist was more commonly affected than the left. Out of 28 patients 18 underwent surgery. Total 20 wrists out of 30 were surgically decompressed. Ultra sound showed the presence of single tendon of APL in 16 wrists (53.3%) and more than 1 tendon in 14 cases (46.7%). Out of 20 wrists which were operated 12 had 2 slips of APL and 8 had one slip of APL. Ultrasonography correctly identified the number of tendons in all except one case, in which it under diagnosed the number of tendons. Conclusion: Though ultrasound could not pick up a sub compartment it can still prevent the complication of incomplete surgical release as it correctly identifies the number of tendons. We strongly recommend looking for a sub compartment when the number of tendons seen on ultrasound is more than that found intraoperatively.

show abstract

“…Although a septum is highly probable within the first dorsal compartment of the wrist [5,7,9], we first performed a one-point injection into a tender induration. In the middle of our study we started to perform two-point injections into the indurated part along the paths of the EPB tendon and the APL tendon after identifying their contours.…”

Section: Discussionmentioning

confidence: 99%

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

Sawaizumi

Nanno

Ito

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The methods and clinical outcomes of intrasheath triamcinolone injection in the treatment of de Quervain's disease are described. We used 38 hands of 36 patients. A mixture of 1 ml of triamcinolone and 1 ml of 1% lidocaine hydrochloride was injected, with an interval of 2 weeks. The fluid was injected into one point above the induration for the first 18 hands and into two points over the extensor pollicis brevis and abductor pollicis longus tendon in the induration for hands 19-38. The efficacy rate was 89%, with the treatment results of the two-point injection better than those of the one-point injection. Recurrence was observed in ten hands, and complications in 13 hands; however, over 90% of patients were satisfied with the injection. The accurate injection of triamcinolone into the sheath of both the extensor pollicis brevis and abductor pollicis longus tendon was considered very effective for de Quervain's disease.

show abstract

Incidence of a septum within the first dorsal compartment of the wrist

Cited by 98 publications

References 6 publications

Role of preoperative ultrasonography in De Quervain’s disease

Role of preoperative ultrasonography in De Quervain’s disease

To study the role of ultrasonography in diagnosis, management and prevention of incomplete surgical release in patient’s of de Quervain’s disease

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

Contact Info

Product

Resources

About