Symptomatic palmar tendon subluxation after surgical release for de Quervain's disease: A case report

White, George M.; Weiland, Andrew J.

doi:10.1016/s0363-5023(84)80017-9

Cited by 51 publications

(28 citation statements)

References 7 publications

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“…Surgery for de Quervain's disease is also not without problems. Reported complications include radial nerve injury, recurrent symptoms due to incomplete retinacular release and tendon subluxation (Arons 1987;Alegado and Meals, 1979;White and Weiland, 1984). However, these complications are uncommon (Littler et al, 2002;Woods, 1964).…”

Section: Article In Pressmentioning

confidence: 99%

Abductor Pollicis Longus Tendon Rupture in De Quervain’s Disease

Yuen

Coombs

2006

Journal of Hand Surgery

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De Quervain's disease is a stenosing tenovaginitis involving the first extensor compartment of the wrist. The similarity of its symptomatology to a number of other conditions and its controversial aetiology are only a few of the barriers which often delay its diagnosis and treatment. We report the first two cases in the literature of abductor pollicus longus tendon rupture in patients with De Quervain's disease who had been treated with conservative methods. The relevant literature is reviewed.

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Section: Article In Pressmentioning

confidence: 99%

Abductor Pollicis Longus Tendon Rupture in De Quervain’s Disease

Yuen

Coombs

2006

Journal of Hand Surgery

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“…With a conventional technique, the extensor retinaculum is opened along the midline portion. This technique can therefore sometimes cause volar subluxation of the tendon 25 . Either incising the extensor retinaculum at the dorsoulnar corner or reconstruction of the compartment after release and transposition of the EPB tendon could prevent palmar subluxation of the tendons after release of the extensor compartment 26, 27.…”

Section: Discussionmentioning

confidence: 99%

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

Karakaplan¹,

Ertem²,

Canbay³

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectivesWe aimed to present preliminary result of one portal endoscopic assisted release of first dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method.Materials and methodsThe patients, who underwent an endoscopic-assisted release of the first extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectively analyzed. Operative treatment was considered if the patients did not respond to non-operative treatment including oral anti-inflammatory medications, splinting, and steroid injection. Surgical release was recommended after minimum four months of unsuccesful non-operative treatment, including a steroid injection. 10 wrists were treated with one portal endoscopic assisted release. All patients were evaluated at an average of 16.1 months follow-up using visual analog scale (VAS) pain ratings and the Disabilities of Arm, Shoulder and Hand (DASH) score.ResultsThe mean operating time was 13.9 min (range, 10–21min). The mean VAS and DASH scores were improved from 8.2 to 1.9 and 70.51 to 2.81 respectively. No significant difference was found between operated and non-operated arms in postoperative pinch and strengths. Transient superficial radial nerve paresthesia (two wrists) and significant scar tenderness (one) were identified in three cases. There was no patient that complain of unsightly scar and tendon subluxation.ConclusionsOne portal endoscopic assisted release of the extensor compartment is an effective and safe minimal invasive procedure with similar complication rates reported previously in open and endoscopic procedures in patients with de Quervain's disease who are unresponsive to non-operative treatments.Level of EvidenceLevel IV Therapeutic Study

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“…• adhérence tendineuse ou cutanée contre laquelle lutte une mobilisation précoce ; • déhiscence cicatricielle, évitée par le tracé horizontal de la voie d'abord ; • lésions des branches sensitives du nerf radial avec névrome postopératoire ou fibrose périneurale, prévenues par les précautions opératoires [48] ; • récidive des douleurs radiales du poignet liée à la présence d'un septum passé inaperç u ou incomplètement libéré ; • et subluxation palmaire des tendons extenseurs à l'origine de douleurs et d'un ressaut tendineux favorisée par la résection excessive du lambeau antérieur de la poulie [43].…”

Section: Traitement Chirurgicalunclassified