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- Title
Repercusión de la variabilidad anatómica del primer compartimento extensor de la mano en la enfermedad de De Quervain.
- Authors
López Mendoza, F. J.; Barón Ramos, C. X.; Gargollo, Orvañanos
- Abstract
Surgical release of the first compartment of the hand containing abductor pollicis longus tendon (APL) and extensor pollicis brevis (EPB) is the gold standard treatment for De Quervain's disease. It's well known that a septum commonly exists between these two tendons. The importance of this septum has been addressed in current literature. Knowledge of this anatomy and its prevalence is important as failure to address first compartment as two subcompartments could lead to treatment failure and persistent symptoms. The aim of this study is to determine the prevalence of subcompartments in the first hand extensor compartment in mexicans. We performed 32 releases of the first extensor compartment in 30 patients at the Hospital General Dr. Manuel Gez González in México DF, all of them with De Quervain disease. Median follow up was 7,5 months. We found and released the described subcompactment in 21 patients (65,6%), with EPB in the sucompartment in 100% of the cases. The APL presented 3 bundles in 31,25%, 2 bundles in 53,12% and 1 bundle in 15,6%. The EPB presented 2 bundles in 6,25% and 1 bundle in 93,75%. No patients experienced recurrence of De Quervain disease symptoms. We hypothesize that the rate of recurrence may be due to failure in identifying and releasing the subcompartments.
- Subjects
HAND anatomy; ANATOMICAL variation; DE Quervain disease; ABDUCTOR pollicis longus muscle; DISEASE prevalence; NONARTICULAR rheumatism
- Publication
Cirugía Plástica Ibero-Latinoamericana, 2011, Vol 37, Issue 3, p289
- ISSN
0376-7892
- Publication type
Article
- DOI
10.4321/S0376-78922011000300010