One portal endoscopic release of the first extensor compartment in de Quervain's disease

Karakaplan, Mustafa; Ertem, Kadir; Canbay, Ali; Aslantürk, Okan; Yoloğlu, Saim

doi:10.1016/j.aott.2018.10.004

Cited by 7 publications

(10 citation statements)

References 24 publications

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“…It is clear that it is not American authors who have resistance or difficulty in declaration of LOE. While the current review is focused on the J Hand Surg Am and J Hand Surg Eur publications, several articles have been published reporting the LOE in other journals (Andersson et al., 2018; Boretto et al., 2019; Boyer et al., 2019; Ehrl et al., 2016; El Amiri et al., 2019; Frueh et al., 2014; Fujihara et al., 2018; Goorens et al., 2018; Hohendorff et al., 2017; 2018; Huttin et al., 2018; Kamphuis et al., 2019; Karakaplan et al., 2019; Ma et al., 2017; Mulders et al., 2017; Rijnja et al., 2017; Robinson et al., 2017; Tang et al., 2017; Thorkildsen and Rokkum, 2019; Uluyardimci et al., 2019; van Zyl et al., 2019; Wang et al., 2017; Yeo et al., 2015). These journals included Hand Surgery and Rehabilitation, Archives of Orthopaedic and Trauma Surgery and Journal of Plastic Surgery and Hand Surgery .…”

Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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The purpose of the study was to evaluate the trend in documentation of surgeon level of expertise among the Journal of Hand Surgery (American Volume) and the Journal of Hand Surgery (European Volume) publications. A review of Journal of Hand Surgery (American Volume) and Journal of Hand Surgery (European Volume) databases for level of expertise between January 2015 and October 2019 was performed. Of 1042 articles identified, all 115 (20%) reporting level of expertise were published in Journal of Hand Surgery (European Volume). Since 2015, there has been an increase in reported level of expertise in Journal of Hand Surgery (European Volume) (2015: 8 (7%); 2016: 15 (13%); 2017: 22 (19%); 2018: 28 (24%); 2019: 42 (37%)). In the same period, no publications have reported level of expertise in Journal of Hand Surgery (American Volume). Documenting level of expertise may provide readers with additional information for incorporation of novel techniques into their practices. It may identify procedures that require a baseline level of expertise for effective performance. Further evaluation of level of expertise criteria may improve the reliability of the numeric scale, while widespread adoption of this scale will allow future outcome analysis by level of expertise.

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Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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“…Of the studies that performed an endoscopic release, we included two types: the one-portal release 29 and the two-portal release. 15 , 17 , 20 Of the one-portal release (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…a 2-cm transverse incision is made just proximal to the carpometacarpal joint. 29 reprinted with permission from esser Masterclass. Fig.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Outcome of de Quervain’s Disease: A Systematic Review and Meta-analysis

Bosman

Duraku

Oest

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Surgical release of the extensor retinaculum is performed as a treatment for de Quervain's (DQ) disease when conservative treatment fails. In the literature, there is no consensus about the effectiveness of a surgical release in patients with DQ, the complication rate, or which type of incision is superior. Therefore, a systematic review and meta-analysis were conducted. Methods: A systematic search was performed in Embase, Medline Ovid, Web of Science Core Collection, Cochrane, and Google Scholar. Articles regarding surgical treatment of DQ disease that reported outcome and complications were included. We extracted exact values of visual analog scale scores and percentages of patients who experienced pain at follow-up. Complications assessed were (sub) luxation, superficial radial nerve injuries, wound infections, and scar problems. Results: Twenty-one studies with a total of 939 patients were included. Five percent of these patients (95% CI 1%-18%) did not show complete remission of pain at follow-up. When pooled, the mean reduction in visual analog scale scores was 5.7 (95% CI 5.3-6.1) on a 0-10 scale. No difference in outcome between different types of surgery or incisions was seen. Based on the meta-analysis, the pooled complication rate was 11% (95% CI 5%-22%). Conclusions: Five percent of patients still have residual pain after surgical release of the first extensor compartment. Surgery type, as well as the type of incision, did not affect outcome or complication. Thus, surgical release of the extensor retinaculum for DQ disease is an effective treatment, regardless of the type of surgery.

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“…These two portals were alternatively used for visualization or manipulation, depending on the variations in the anatomy of the first dorsal compartment. Unlike two portals endoscopic technique, Karakaplan et al [8] practiced one portal endoscopic release technique among 10 patients. In terms of complications, one patient had significant scar tenderness and two patients had paresthesia of the superficial radial nerve which was resolved spontaneously in 12 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Open release has been widely studied since Fritz de Quervain firstly published the surgical technique in an article in 1895 [6]. Endoscopic release for de Quervain’s disease was firstly described by Slade and Merrell in 2007 [7] and was then studied by several researches for its good results and fewer complications [8–10]. We prefer to call it tendoscopic rather than endoscopic as the procedure is done around the APL and EPB tendons, and to our knowledge none of them reported the long-term results of this minimum-invasive technique.…”

Section: Introductionmentioning

confidence: 99%

Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up

Hong

Chen

et al. 2019

J Orthop Surg Res

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PurposeTo compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain’s disease.MethodsFrom 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain’s disease despite a minimum of 3 months non-operative treatment. Of the 50 patients who met the inclusion criteria, 41 patients were followed-up for a mean of 7.21 years postoperatively. Among these 41 wrists, 20 underwent tendoscopic release (group A), and 21 underwent open release (group B). The clinical evaluations were performed preoperatively, 1 month postoperatively and at last follow-up visit, using visual analog scale (VAS); the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome score; and the Finkelstein’s test. The Patient and Observer Scar Assessment Scale (POSAS) was used as an esthetic evaluation tool of the scar at last follow-up.ResultsNo significant baseline differences were found between two groups. The average time return to work in group A was less than in group B (P < 0.05), The mean VAS and DASH scores improved significantly in both groups at 1 month and last follow-up visit (P < 0.001). At 1 month, the scores in group A were significantly better than in group B (P < 0.05 and P < 0.001, respectively). There was no difference between groups at last follow-up. In addition, the improvement of the mean DASH score was significantly greater in group A than in group B (34.74 ± 10.99 in group A and 23.58 ± 12.01 in group B, P < 0.01) at 1 month. For POSAS scale, both the OSAS and PSAS scores were significantly better in group A. One patient in group A had cephalic vein injury and 3 patients in group B was involved with radial sensory nerve injury. All patients showed negative on Finkelstein’s test at last follow-up.ConclusionsThe results of this study suggest that tendoscopic technique for de Quervain’s disease could provide earlier symptom relief and earlier recovery with fewer complications and more desirable scar, as well as equivalent successful long-term outcome, when compared with traditional open release technique.

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One portal endoscopic release of the first extensor compartment in de Quervain's disease

Cited by 7 publications

References 24 publications

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Surgical Treatment Outcome of de Quervain’s Disease: A Systematic Review and Meta-analysis

Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up

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