Volar Approach to the First Extensor Compartment for Surgical Treatment of DeQuervain Tenosynovitis

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

Handchirurgie · Mikrochirurgie · Plastische Chirurgie ◽

10.1055/s-0043-105497 ◽

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 ◽

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.

Anatomical variations in the first extensor compartment of the wrist. A clinical and anatomical study.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-198668060-00016 ◽

1986 ◽

Vol 68 (6) ◽

pp. 923-926 ◽

Cited By ~ 112

Author(s):

W T Jackson ◽

S F Viegas ◽

T M Coon ◽

K D Stimpson ◽

A D Frogameni ◽

...

Keyword(s):

Anatomical Study ◽

Anatomical Variations ◽

Release of the First Extensor Compartment at the Wrist (DeQuervain’s Decompression)

Practical Procedures in Elective Orthopedic Surgery ◽

10.1007/978-0-85729-820-1_22 ◽

2011 ◽

pp. 147-150

Author(s):

Robert Farnell

Keyword(s):

Tendon Interposition Arthroplasty of the First Carpo-Metacarpal Joint

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_88_90171-4 ◽

1988 ◽

Vol 13 (4) ◽

pp. 421-425

Author(s):

A. WEILBY

Keyword(s):

Radial Nerve ◽

Interposition Arthroplasty ◽

Nerve Lesions ◽

Flexor Carpi Radialis ◽

Abductor Pollicis Longus ◽

Slight Pain ◽

Full Power ◽

Extensor Compartment ◽

Tendon Interposition

After removal of the trapezium, imbrication of abductor pollicis longus and fixing it with a strip of flexor carpi radialis tendon, we obtained a stable arthroplasty having three quarters of normal mobility and half to full power. Of the first 100 operated thumbs, 15 patients had slight pain on heavy use; the rest were painfree. Three patients had radial nerve lesions with minor complaints. Seven patients developed de Quervain’s syndrome and two had rupture of abductor pollicis longus; these complications have since been avoided by routinely splitting the first extensor compartment. Four cases with unstable joints required further surgery, and one joint became stiff due to extra-articular conditions.