De Quervain’s Disease

2000 ◽  
Vol 25 (1) ◽  
pp. 65-69 ◽  
Author(s):  
N. R. M. KAY
Keyword(s):  
De Quervain’S Disease ◽  
Factors Associated ◽  
The Poor ◽  
First Extensor Compartment ◽  
Extensor Compartment

The basic anatomy of the first extensor compartment is presented with a review of the pathology of de Quervain’s stenosing tenovaginitis. The results in 100 medicolegal cases of de Quervain’s disease are analysed and reasons are sought for the poor results. A review of the known factors associated with the causation of de Quervain’s disease is presented with recommendations about the management of this condition.

Clinical Sign for Missed Decompression of a Separate Extensor Pollicis Brevis Compartment in de Quervain’s Disease

2017 ◽  
Vol 49 (03) ◽  
pp. 185-187
Author(s):  
Niels Benatar
Keyword(s):  
Clinical Sign ◽  
Revisional Surgery ◽  
Persistent Pain ◽  
Previous Surgery ◽  
De Quervain’S Disease ◽  
Longus Tendon ◽  
Abductor Pollicis Longus ◽  
Extensor Pollicis Brevis ◽  
First Extensor Compartment ◽  
Extensor Compartment

AbstractPersistent pain despite previous surgery for de Quervain’s disease might be due to an overlooked septum between the abductor pollicis longus tendon slips and the extensor pollicis brevis tendon, or an overlooked completely separate compartment for the extensor pollicis brevis tendon alone. In both of these instances, extension of the MP joint of the thumb against resistance elicits pain at the distal level of the first extensor compartment of the wrist. When this sign is positive, revisional surgery and decompression of the remaining septum or separate compartment is indicated.

Abductor Pollicis Longus Tendon Rupture in De Quervain’s Disease

2006 ◽  
Vol 31 (1) ◽  
pp. 72-75 ◽  
Author(s):  
A. YUEN ◽  
C. J. COOMBS
Keyword(s):  
Tendon Rupture ◽  
Relevant Literature ◽  
Diagnosis And Treatment ◽  
De Quervain’S Disease ◽  
Longus Tendon ◽  
Abductor Pollicis Longus ◽  
First Extensor Compartment ◽  
Extensor Compartment

De Quervain’s disease is a stenosing tenovaginitis involving the first extensor compartment of the wrist. The similarity of its symptomatology to a number of other conditions and its controversial aetiology are only a few of the barriers which often delay its diagnosis and treatment. We report the first two cases in the literature of abductor pollicus longus tendon rupture in patients with De Quervain’s disease who had been treated with conservative methods. The relevant literature is reviewed.

Histological assessment of a septum in the first dorsal compartment: a fresh cadaver study

2019 ◽  
Vol 44 (8) ◽  
pp. 805-809
Author(s):  
Shiro Sugiura ◽  
Yusuke Matsuura ◽  
Takane Suzuki ◽  
Satoru Nishikawa ◽  
Kazuki Kuniyoshi ◽  
...  
Keyword(s):  
Cadaver Study ◽  
Extensor Retinaculum ◽  
Histological Assessment ◽  
De Quervain’S Disease ◽  
Histological Features ◽  
The Third ◽  
Fresh Cadaver ◽  
First Extensor Compartment ◽  
Fresh Frozen ◽  
Extensor Compartment

Resistance of de Quervain’s disease to conservative treatment has been associated with an intertendinous septum in the first compartment; little is known about the histological features of such a septum. This study aimed to examine the intertendinous septum histologically and note its variations. After dissecting the first extensor compartment of 24 hands from 12 fresh frozen cadavers, the presence of any intertendinous septa was determined. The length of the extensor retinaculum and intertendinous septum was measured; histological findings of the first compartment with or without septa were studied and compared with those of the third/fourth compartment. Intertendinous septa were observed in 12 of 24 wrists. Histological assessment of the intertendinous septum revealed tissue similar in composition to the retinaculum observed between the third and fourth compartments.

Ultrasonographic evaluation of the first extensor compartment of the wrist in de Quervain’s disease

2014 ◽  
Vol 19 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Kwang-Hyun Lee ◽  
Chang-Nam Kang ◽  
Bong Gun Lee ◽  
Woo-Sung Jung ◽  
Do Yun Kim ◽  
...  
Keyword(s):  
De Quervain’S Disease ◽  
First Extensor Compartment ◽  
Extensor Compartment

scholarly journals One portal endoscopic release of the first extensor compartment in de Quervain's disease

2019 ◽  
Vol 53 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Mustafa Karakaplan ◽  
Kadir Ertem ◽  
Ali Canbay ◽  
Okan Aslantürk ◽  
Saim Yoloğlu
Keyword(s):  
De Quervain’S Disease ◽  
Endoscopic Release ◽  
First Extensor Compartment ◽  
Extensor Compartment

Excision of aberrant abductor pollicis longus tendon slips for decompression of de Quervain’s disease

2011 ◽  
Vol 36 (5) ◽  
pp. 379-382 ◽  
Author(s):  
M. Okada ◽  
J. E. Kutz
Keyword(s):  
Surgical Procedure ◽  
Tendon Transfer ◽  
Loss Of Function ◽  
De Quervain’S Disease ◽  
Extensor Tendons ◽  
Longus Tendon ◽  
Abductor Pollicis Longus ◽  
First Extensor Compartment ◽  
Extensor Compartment ◽  
Multiple Slips

Release or excision of the first extensor compartment is a commonly performed surgical procedure to treat de Quervain’s disease. This technique can potentially cause palmar subluxation of the extensor tendons. The abductor pollicis longus (APL) tendon has multiple slips which can be used as a resource for tendon transfer without loss of function. The technique described in this paper is decompression of the first extensor compartment by excision of an aberrant APL tendon slip without releasing the first extensor compartment. This technique was used in 24 wrists in 21 patients, and outcome assessed. All our patients had relief from pain and tenderness. No patients needed immobilization and none had subluxation of the extensor tendons. Patients without workers’ compensation returned to work 15 days after surgery.

Accuracy of intrasheath injection techniques for de Quervain’s disease: a cadaveric study

2012 ◽  
Vol 37 (2) ◽  
pp. 155-160 ◽  
Author(s):  
C. Mirzanli ◽  
K. Ozturk ◽  
C. Z. Esenyel ◽  
S. Ayanoglu ◽  
Y. Imren ◽  
...  
Keyword(s):  
Cadaveric Study ◽  
De Quervain’S Disease ◽  
Abductor Pollicis Longus ◽  
Extensor Pollicis Brevis ◽  
First Extensor Compartment ◽  
Injection Techniques ◽  
Extensor Compartment

The purpose of this study was to assess the accuracy of injections of dye into the first extensor compartment of the wrist using three different techniques in 150 wrists in 75 fresh cadavers. To compare injections, 50 wrists from 25 cadavers were used for each technique. After the injections, the first extensor compartment was dissected and the dispersion of dye around the abductor pollicis longus and extensor pollicis brevis tendons was investigated. In 72 % of all the wrists, acrylic dye was dispersed into one compartment containing both the abductor pollicis longus and extensor pollicis brevis tendons, but in 28% of the wrists there was a separate compartment for extensor pollicis brevis and dye entered only one of the compartments (14% for each compartment). For accurate injections, we think the injections should be made separately over the two tendons, to allow for the possibility of a septum within the compartment.

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