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- Title
Is surgical release of de Quervain tenosynovitis good option?
- Authors
Yaqoob, Nasir; Ali, Syed Danish; Adil, Salman; Qureshi, Osama Ahmed; Azam, Hareem; Azam, Bassil; Azam, Khan Shah; Siddiqui, Aslam
- Abstract
Purpose: The purpose of my study was to evaluate the outcome of surgical release which results in early pain relief and lifelong exemption from recurrence Materials and Methods: 40 patients presenting to Baqai University Fatima Hospital, Karachi, Pakistan with de Quervain Tenosynovitis from November 2016 to June 2017 were evaluated in a retrospective manner, all patients had positive Finkelstein test and tenderness over 1st extensor compartment, Visual Analog Score (VAS) was calculated and surgical release was done under local anesthesia with a 1-2 cm incision over point of maximum tenderness over 1st extensor compartment. The extensor retinaculum which covers the Extensor Pollicis Brevis (EPB) tendon was incised by a longitudinal incision. Overlying skin was closed using interrupted sutures. Post-operative Visual Analog Score and Finkelstein test were assessed after 6 months. Results: 40 patients were included in the study, 35 were females (87%) 5 were males (12.5%). 2 patients were lost follow-up (5%). 38 patients (95%) had disease in their right hand while 2 patients (5%) had disease in their left hand. Average VAS score pre-operative was 7.8. All patients had Finkelstein test positive. Post-operative VAS score was 1.7. All patients had Finkelstein test negative post-procedure. 1 patient (2.5%) had surgical site infection (SSI). 2 patients (5%) had sensory loss over surgical site. Conclusions: We conclude that surgical release for dequarvain tenosynovitis is a safe and reliable method of treatment
- Subjects
TENOSYNOVITIS; OVERUSE injuries; NONARTICULAR rheumatism; OPERATIVE surgery; LOCAL anesthesia
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 2, p150
- ISSN
0258-8552
- Publication type
Article