Surgical treatment in De Quervain's tenosynovitis. About 20 cases

Annales de chirurgie plastique et esthétique
Y BourasA Largab

Abstract

The De Quervain's tenosynovitis is an inadequacy into the first extensor compartment between the osteo-fibrous tunnel and the tendons. This mechanical conflict generates a tenosynovitis of the extensor pollicis brevis and the abductor pollicis longus tendons in first dorsal extensor compartment of the wrist. The authors report a retrospective study of 20 patients who have been treated by a longitudinal surgical approach. The mean age was 49 years old with a net female predominance. The Finkelstein's test was positive in all cases. All patients were treated operatively by incision of the sheath, which was sufficient to unwind the dorsal compartment tendons. The sheath palmar flap has been sutured with skin (Le Viet plasty) to avoid a further tendons luxation. At three years follow-up, the functional results were good in all the patients. However, non-aesthetic scars were noticed in three patients. We did not notice neither a case of anesthesia of the radial nerve nor a tendinous luxation in our series. The stenosing tenosynovitis of the first dorsal extensor compartment of the wrist is a relatively frequent pathology in the young woman. We use a longitudinal surgical approach to avoid the radial nerve lesions. Le Viet procedure ...Continue Reading

References

Jan 1, 1990·The Journal of Hand Surgery·F J HarveyM W Horsley
Jul 1, 1994·The Journal of Hand Surgery·A P WeissM Tabatabai
Oct 6, 1999·The Journal of Hand Surgery·K T TaJ G Thomson
May 2, 2003·Chirurgie de la main·G Brunelli
Sep 22, 2005·Techniques in Hand & Upper Extremity Surgery·Hakan Gundes, Bilgehan Tosun

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Citations

Jun 18, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·M A AltayU E Isikan
Feb 23, 2018·World Journal of Orthopedics·Alexander R PoublonErik T Walbeehm

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