Omega “Ω” Pulley Plasty for Surgical Management of DeQuervain’s Disease

Bakhach, Joseph; Chaya, Bachar F.; Papazian, Nazareth

doi:10.1142/s2424835518500169

Cited by 13 publications

(12 citation statements)

References 14 publications

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“…The Kapandji score (Kapandji, 1986) is one of the methods for recording opposition, and is used widely due to its simplicity (Bakhach et al., 2018; Dehl et al., 2017; Naeem and Lahiri, 2013; Smeraglia et al., 2015). However, there have been reports that the score does not show differences between healthy participants and patients with thenar atrophy due to CTS (Barakat et al., 2013; Dilokhuttakarn et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

Measurement of thumb pronation and palmar abduction angles with a small motion sensor: a comparison with Kapandji scores

Kuroiwa

Nimura

Suzuki

et al. 2019

J Hand Surg Eur Vol

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The Kapandji score is used widely to record thumb opposition and is the only alternative to angular measurements. We aimed to verify the extent to which the Kapandji score reflects the angle of pronation. We recruited volunteers with unaffected upper limbs (33 hands) and patients with carpal tunnel syndrome (20 hands). We attached a small gyroscope to the thumb metacarpal and measured the pronation and palmar abduction angles at each position of the Kapandji score in both groups. The Kapandji score showed a strong ceiling effect, and the increase in angle size at each Kapandji score levelled off around a score of 6 in both groups. A Kapandji score greater than 6 does not necessarily reflect thumb opposition. Level of Evidence: III

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Section: Introductionmentioning

confidence: 99%

Measurement of thumb pronation and palmar abduction angles with a small motion sensor: a comparison with Kapandji scores

Kuroiwa

Nimura

Suzuki

et al. 2019

J Hand Surg Eur Vol

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“…However, there was no significant difference in rates of subluxation between the two groups. Because it is difficult to perform a revision surgery in the event of extensor tendon subluxation, various surgical methods have been proposed to prevent such complications (Bakhach et al., 2018; Littler et al., 2002; McMahon et al., 1991; Ramesh and Britton, 2000; van der Wijk et al., 2015). Takagi et al.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of extensor tendon subluxation after simple release remains unknown. There have been recent attempts to prevent volar subluxation of the extensor tendon through reconstructive surgery of the extensor compartments (Bakhach et al., 2006; Littler et al., 2002; Takagi et al., 2017; van der Wijk et al., 2015). Takagi et al.…”

Section: Introductionmentioning

confidence: 99%

Comparison between simple release and Z-plasty of retinaculum for de Quervain’s disease: a retrospective study

Kim

Baek

Lee

2019

J Hand Surg Eur Vol

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We compared two surgical procedures for de Quervain’s disease that was not responsive to conservative treatment. Group A (simple release) consisted of 38 patients and group B (Z-plasty of the retinaculum) included 36 patients. The visual analogue scale score and the Disabilities of the Arm, Shoulder and Hand Score improved significantly after surgery; there were no statistical differences in outcome between the two groups. In group A, one patient required reoperation, two had subluxations of extensor tendons and two had temporary loss of sensation in the area of the radial nerve. In group B, two patients had temporary loss of sensation. The mean time to resolution of pain at the operative site was significantly shorter in group B. Both simple release and Z-plasty were effective surgical methods. Z-plasty allowed earlier return to activities of daily living but there was no statistical difference between the two groups in incidence of complication. Level of evidence: IV

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“…Some have proposed a primary reconstruction of the pulley of the first extensor compartment to avoid the subluxation of the EPB and APL tendons after the primary surgery of de Quervain's disease. [12][13][14][15][16] Instability of the tendons of the first extensor compartment is more likely to occur following the simple release of the pulley of the first extensor compartment in early stages of the disease because the pulley is thinner. Chronic cases of de Quervain may have thickening of the pulley/retinaculum of the first extensor compartment up to more than 2 mm (measured by ultrasound).…”

Section: Discussionmentioning

confidence: 99%

Pulley Reconstruction for Symptomatic Instability of the Tendons of the First Extensor Compartment Following de Quervain's Release

et al. 2017

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Surgical management of de Quervain's tenosynovitis is based on decompression of the first extensor compartment. A simple release of the first compartment can cause instability of the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons in zone seven of the extensors. The WHAT test (wrist hyperflexion and abduction of the thumb) is very effective in diagnosing this instability. In this retrospective monocentric study, we analyzed a case series of 10 patients all of whom underwent a reconstruction of the first extensor compartment using a retinacular graft because of symptomatic instability after decompression surgery. The reconstruction was a modified technique of the sixth compartment. Functional outcome and characteristics of the newly reconstructed pulley were examined by physical examination with the aid of ultrasound and internationally validated questionnaires. Four patients had a good-to-excellent functional outcome, all of those had a maximum of two surgical procedures performed on the first extensor compartment. Six patients presented poor functional outcome. In four of them, more than two surgical procedures were performed. Minor residual instability was noted in six cases, found in both the groups. The reconstruction procedures on the first compartment seemed to be satisfactory in treating instability of the EPB and APL tendons after primary surgical release for de Quervain's disease. Level IV, observational study without controls.

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Omega “Ω” Pulley Plasty for Surgical Management of DeQuervain’s Disease

Cited by 13 publications

References 14 publications

Measurement of thumb pronation and palmar abduction angles with a small motion sensor: a comparison with Kapandji scores

Measurement of thumb pronation and palmar abduction angles with a small motion sensor: a comparison with Kapandji scores

Comparison between simple release and Z-plasty of retinaculum for de Quervain’s disease: a retrospective study

Pulley Reconstruction for Symptomatic Instability of the Tendons of the First Extensor Compartment Following de Quervain's Release

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