Optimisation of Surgical Results in de-Quervain’s Disease

Kamath, Jagannath B and *, Harsh Vardhan and *, Nikil Jayasheelan and Mahale, Ajit and *, Ashvini Kumar (2013) Optimisation of Surgical Results in de-Quervain’s Disease. OJHAS, 12 (4).

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Abstract

Background: De Quervain’s disease poses more problems with respect to management thanthe diagnosis. Surgery is resorted to when the conservative methods fail. There are known complications of the surgical intervention.Surgeon contemplating the surgery should be aware of these and make every attempt to optimize the results and avoid the above mentioned complication. Methods: Sixty symptomatic wrists in 57 individuals suffering from de Quervain’s disease who needed surgery were studied preoperatively with ultrasound. Number of tendons and the sub septae identified in the ultrasound examination preoperativelywere confirmed on the table during the surgery. The release was brought about under local anesthesia, with magnification taking care to avoid injury to the cephalic vein and superficial branch of radial nerve, not to violate the anterior margin of the sheath, thus preventing complications.A negative post release finkelstein test was ensured before the wound closure. Results: All 60 patients who underwent release for de Quervain’s disease were symptom free,satisfied and fully functional. Conclusions: De-Quervain's disease not relieved by conservative methods needs surgical release under local anesthesia with a transverse incision with Preoperative ultrasound examination for the number of tendons and subseptae. Avoiding the violation of the volar aspect of the sheath, loupe magnification, tourniquet and post release Finkelstein’s test before wound closure, will ensure optimal results.

Item Type: Article
Uncontrolled Keywords: De Quervain’s tenosynovitis; Ultrasonography; Loupe; Finkelstien’s test.
Subjects: Medicine > KMC Mangalore > Radio Diagnosis and Imaging
Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 24 Feb 2014 06:23
Last Modified: 24 Feb 2014 06:23
URI: http://eprints.manipal.edu/id/eprint/138927

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