Title: Surgical Release of the First Extensor Compartment for de Quervain's Tenosynovitis
Authors: Prof. Bashir Ahmad Mir, Dr Asif Sultan, Dr Mudasir Nazir Bhat
DOI: https://dx.doi.org/10.18535/jmscr/v8i10.07
Abstract
Introduction: Repetitive and forceful manual work with wrist deviated to ulnar wards and thumb abducted and extended may lead to de Quervain’s tenosynovitis. Both non surgical and surgical options are there for the treatment of this condition. However, surgical decompression is considered when conservatives measures failed after tried for 3-6 months.
Materials and Methods: A prospective study conducted in Government Medical College Srinager from September 2016 to Augest 2018. A total of 44 patients of de Quervain’s tenosynovitis were included in the study.
Results: Almost all cases cured as there was insignificant pain or tenderness, VAS score was below 3 and negative Finkelstein test was seen in all patients. Preoperative VAS score was reduced from 9.2 ± 1.32 to 1.52 ± 2.38 at 1 month, 1.41 ± 2.52 at 6 months, and 1.02 ± 2.69 at 12-month follow-up. Preoperative Quick DASH score was 84.39 ± 18.29 which was reduced to 20.89 ± 20.74 at 1 month, 16.32 ± 22.82 at 6 months and 14.92 ± 24.25 at 12-month follow-up and it was found stastically significant (p value<0.005). Three patients developed an infection and were cured with an antibiotic. Two patients had tendon subluxation after the operation that were treated subsequently.
Conclusion: Most of the patients were completely relieved from de Quervain’s tenosynovitis with surgical intervention.
Keywords: De Quervain’s tenosynovitis, open surgery.
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