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

World Journal of Orthopedics
Alexander R PoublonE T Walbeehm

Abstract

To 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). Twenty 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. This 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. CASAM 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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Citations

Jul 3, 2019·The Journal of Hand Surgery, European Volume·Alexander P A GreevenMichiel H J Verhofstad
Nov 10, 2018·Acta orthopaedica et traumatologica turcica·Mustafa KarakaplanSaim Yoloğlu
Oct 13, 2018·Neurological Research·Jonathan RychenDaniel W Zumofen
Aug 3, 2020·Techniques in Hand & Upper Extremity Surgery·Adam Y Park, Dean W Smith
Sep 11, 2021·JBJS Reviews·Christopher G LarsenLewis B Lane

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Methods Mentioned

BETA
dissections
dissection

Software Mentioned

Photoshop
Computer Assisted Anatomy Mapping ( CASAM )
CASAM

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