Outcome of longitudinal versus transverse incision in de Quervain’s disease and its implications in Indian population

Kumar, Kuljit

doi:10.1007/s12306-015-0388-6

Cited by 21 publications

(33 citation statements)

References 10 publications

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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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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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“…14 In another short-term study (3-month follow-up), there were fewer complications with longitudinal surgical incision than with transverse incision, although there was one case of hypertrophic scar with longitudinal incision. 15 It is difficult to compare the two surgical approaches as the surgeoǹ s technique, experience of the surgeon, training of the surgeon, and frequency of following a particular surgical procedure also play an important role. Lee et al used transverse incision for the release of DC1 without any significant complication.…”

Section: Discussionmentioning

confidence: 99%

Is Pulley Reconstruction Better Than Pulley Release for De Quervain's Tenosynovitis? A Double-Blind Randomized Controlled Trial

et al. 2021

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Purpose The aim of this study was to compare the results of surgeries of the De Quervain's disease (DQD) through a randomized control trial. Materials and Methods We treated 40 cases of De Quervain's tenosynovitis in 2 groups: 20 patients by pulley release method and another 20 patients by pulley reconstruction method. The patients were selected as per the random table number. The clinical data, numeric Visual Analogue Scale (VAS) score, Quick DASH—Disabilities of the Arm, Shoulder, and Hand—score, Mayo Wrist Score, and subluxation of the tendons in dynamic ultrasonography (USG) during wrist hyperflexion and abduction of the thumb test were noted preoperatively and 6 months after the operation. All patient charts were reviewed and data analysis was done after completion of the study. Results All patients improved after surgery. There was no difference in clinical outcome data, numeric VAS score, Quick DASH Score, and Mayo Wrist Score (p-value > 0.05). There were four patients with tendon subluxation under USG in pulley release group, out of which only one patient was clinically symptomatic. There was no tendon subluxation in pulley reconstruction group. The tendon subluxation between the two groups was not found to be statistically significant (p-value: 0.661). Conclusion Although, higher numbers of subluxation were found in release group, there was no statistically significant difference in the outcome of the two surgical procedures for DQD. This study is a pilot study, and it may act as the groundwork over which further studies may be performed. Level of Evidence This is a Level I study.

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“…The longitudinal techniques offers more exposure than a transverse incision[ 16 , 17 , 32 ] with a lower chance of iatrogenic nerve damage[ 33 ]. However this technique offers a suboptimal cosmetic result and because the scar is directly over the first extensor compartment the retraction of scar tissue could cause compression of the first extensor compartment and recurrence of the symptoms of Quervains disease.…”

Section: Discussionmentioning

confidence: 99%

Optimal surgical approach for the treatment of Quervains disease: A surgical-anatomical study

Poublon¹,

Kleinrensink²,

Kerver³

et al. 2018

WJO

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AIMTo determine which of the common used incision techniques has the lowest chance of iatrogenic damage to the nerves which at risk are the superficial branch of the radial nerve (SBRN) and the Lateral Antebrachial Cutaneous Nerve (LABCN).METHODSTwenty embalmed arms were dissected and the course of the SBRN and the LABCN in each individual arm was marked and the distance between the two branches of the SBRN at the location of the First Extensor Compartment (FEC) was measured. This data was used as input in a visualization tool called Computer Assisted Anatomy Mapping (CASAM) to map the course of the nerves in each individual arm.RESULTSThis image visualizes that in 90% of the arms, one branch of the SBRN crosses the FEC and one branch runs volar to the compartment. The distance between the two branches was 7.8 mm at the beginning of the FEC and 10.2 mm at the end. Finally the angle of incision at which the chance of damage to the nerves is lowest, is 19.4 degrees volar to the radius.CONCLUSIONCASAM shows the complexity of the course of the SBRN over the FEC. None of the four widely used incision techniques has a significantly lower chance of iatrogenic nerve damage. Surgical skills are paramount to prevent iatrogenic nerve damage.

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Outcome of longitudinal versus transverse incision in de Quervain’s disease and its implications in Indian population

Abstract: Overall, longitudinal incision should be used for surgical treatment for de Quervain's disease due to lower risk of complications.

Cited by 21 publications

References 10 publications

Transverse or longitudinal? A survey of volar wrist incision preferences

Transverse or longitudinal? A survey of volar wrist incision preferences

Is Pulley Reconstruction Better Than Pulley Release for De Quervain's Tenosynovitis? A Double-Blind Randomized Controlled Trial

Optimal surgical approach for the treatment of Quervains disease: A surgical-anatomical study

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