Preoperative ultrasound in de Quervain’s disease: an investigation worth doing

*, Harshvardhan, B and Kamath, J. and Kamath, K. R. and Kumar, A. and Shetty, M. and Bhardwaj, Praveen (2009) Preoperative ultrasound in de Quervain’s disease: an investigation worth doing. Journal of Hand and Microsurgery, 1 (1). pp. 12-16.

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Abstract

Background The diagnosis of de Quervain’s disease is traditionally clinical. There are no defined objective criteria to select a mode of treatment (conservative or surgical). Usually, all cases are initially treated conservatively and are offered surgery if it fails. Persistent symptoms after surgery, a nightmare for treating surgeon, are attributed to improper diagnosis or inadequate release of the compartment. Methods A total of 45 symptomatic wrists in 42 patients were analyzed. All patients underwent ultrasound examination using a 12 MHz linear array transducer by the same radiologist in both the affected and unaffected wrists. Results The highest incidence was seen in housewives involved in domestic work.

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