Traitement chirurgical de la ténosynovite de De Quervain. À propos de 20 cas

Bouras, Y.; Andaloussi, Y. El; Zaouari, T.; Touil, N.; Fnini, S.; Çhikhaoui, N.; Largab, A.

doi:10.1016/j.anplas.2009.08.006

Cited by 12 publications

(5 citation statements)

References 6 publications

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“…Our result was similar to the most of the study done with surgical decompression. 9,21 Reduction in VAS score was significantly better than other techniques of treatment like SCI or SCI with TSC application. 20 We found septation in 47% and multiple APL slips in 11.8% of our 34 cases.…”

Section: Discussionmentioning

confidence: 88%

Outcome of surgical decompression in resistant de Quervain tenosynovitis

Lamichhane²,

Parajuli³

et al. 2017

J Patan Acad Health Sci

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Introductions: De Quervain tenosynovitis is a common cause of functional impairment. Steroid injection has good result but significant numbers of cases develop resistance requiring surgical decompression. This study assesses the outcome of surgery. Methods: Symptomatic de Quervaint tenosynovitis cases resistant to conservative treatment that underwent surgical decompression and postoperative thumb immobilization using thumb spica splint cast during four and half years were analyzed. They were followed for at least three months for clinical and functional outcome. Patient demography, visual analogue score (VAS) and complications were analyzed descriptively. Results: There were 34 cases of de Quervaint tenosynovitis, mean age 42±16 years, and female 88.2%. Treatment was successful in all cases. The mean VAS score reduced to 0.5 from 6.82, p-value <0.01. Complication occurred in one case. Conclusions: Surgical decompression of de Quervain tenosynovitis was safe and effective in cases resistant to conservative treatment.

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Section: Discussionmentioning

confidence: 88%

Outcome of surgical decompression in resistant de Quervain tenosynovitis

Lamichhane²,

Parajuli³

et al. 2017

J Patan Acad Health Sci

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“…de Quervain's tenosynovitis was common in similar age groups in the literature. 10 , 14 This shows that de Quervain's tenosynovitis is a disease of people of a productive age group. Hence, it has a serious economic impact.…”

Section: Discussionmentioning

confidence: 96%

de Quervain’s Disease among Patients Visiting the Orthopaedic Outpatient Department of Tertiary Care Center: A Descriptive Cross- sectional Study

Rokaya¹,

Karki²,

Kathayat³

et al. 2023

J Nepal Med Assoc

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Introduction: de Quervain’s disease is one of the common causes of wrist pain. It can cause serious disability and absence from work due to impaired functioning of the wrist and hand. The aim of this study is to find out the prevalence of de Quervain’s disease among patients visiting the orthopaedic outpatient department of a tertiary care centre. Methods: This was a descriptive cross-sectional study conducted among patients visiting the orthopaedic outpatient department of a tertiary care centre after receiving ethical approval (IRC KAHS Reference: 078/079/56). This study was conducted from 1 January 2021 to 30 December 2021 from hospital medical records. A convenience sampling method was used. Patients with de Quervain’s disease from 16 to 60 years were included in this study. Clinically diagnosis of de Quervain’s disease was based on the tenderness of the radial styloid process, tenderness over the first extensor compartment on resisted thumb abduction or extension and positive Finkelstein test. Point estimate and 95% Confidence Interval were calculated. Results: Out of 9600 orthopaedic outpatients, de Quervain’s disease was seen in 128 (1.33%) (2.68-4.52, 95% Confidence Interval). Conclusions: The prevalence of de Quervain’s disease was similar when compared to other studies conducted in similar settings.

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“…The “lazy S” technique has both advantages and disadvantages. The incision offers a good exposure and less chance of iatrogenic damage than the transverse incision[ 17 , 18 ]. However the scar as a result of this incision is not as cosmetic as the transverse incision and the incision has a greater chance of iatrogenic damage to the nerves than the longitudinal incision.…”

Section: Discussionmentioning

confidence: 99%

“…The “lazy S” incision has been described[ 18 ]. The skin is incised with a stretched S over a length of 2 cm over the first extensor compartment.…”

Section: Introductionmentioning

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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Traitement chirurgical de la ténosynovite de De Quervain. À propos de 20 cas

Cited by 12 publications

References 6 publications

Outcome of surgical decompression in resistant de Quervain tenosynovitis

Outcome of surgical decompression in resistant de Quervain tenosynovitis

de Quervain’s Disease among Patients Visiting the Orthopaedic Outpatient Department of Tertiary Care Center: A Descriptive Cross- sectional Study

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

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