--- abstract: "Background: De Quervain’s disease poses more problems with respect to management than the 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 preoperatively were 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." altloc: - http://www.ojhas.org/issue48/2013-4-6.html chapter: ~ commentary: ~ commref: ~ confdates: ~ conference: ~ confloc: ~ contact_email: ~ creators_id: - bjkamath@satyam.net.in - ~ - ~ - ~ - ~ creators_name: - family: Kamath given: BJ honourific: '' lineage: '' - family: Vardhan given: H honourific: '' lineage: '' - family: ' Jayasheelan' given: N honourific: '' lineage: '' - family: Mahale given: A honourific: '' lineage: '' - family: Kumar given: A honourific: '' lineage: '' date: 2014-02-20 date_type: published datestamp: 2015-02-21 14:35:53 department: ~ dir: disk0/00/00/97/13 edit_lock_since: ~ edit_lock_until: 0 edit_lock_user: ~ editors_id: - Kakkilaya BS editors_name: - family: Kakkilaya given: Srinivas honourific: Dr lineage: '' eprint_status: archive eprintid: 9713 fileinfo: /9713/1.hassmallThumbnailVersion/2013-4-6.pdf;/9713/1/2013-4-6.pdf full_text_status: public importid: ~ institution: ~ isbn: ~ ispublished: pub issn: ~ item_issues_comment: [] item_issues_count: ~ item_issues_description: [] item_issues_id: [] item_issues_reported_by: [] item_issues_resolved_by: [] item_issues_status: [] item_issues_timestamp: [] item_issues_type: [] keywords: De Quervain’s tenosynovitis; Ultrasonography; Loupe; Finkelstien’s test. lastmod: 2015-04-20 11:43:46 latitude: ~ longitude: ~ metadata_visibility: show note: ~ number: ~ pagerange: ~ pubdom: TRUE publication: Online Journal of Health and Allied Sciences publisher: Kakkilaya BS refereed: TRUE referencetext: "1.\tRhodes CE et al. Stenosing Tenosynovitis of fingers and thumb. CORR 1984;190:236-238.\r\n2.\tHarvey FJ et al. de –Quervain’s disease: Surgical or Nonsurgical treatment. J Hand Surg A. 1990;15:83-87.\r\n3.\tAbrislam SJ et al. De-Quervain’s tenosynovitis: Clinical outcomes of the surgical treatment with longitudinal and transverse incisions. Oman Medical Journal; 2011 March;26(2):91-93.\r\n4.\tGundes H et al. Longitudnal incision in surgical release of de- Quervain’s disease. Techniques in Hand and Upper Extremities. 2005;9(3):149-152.\r\n5.\tIlias AM et al. De- quervain’s tenosynovitis of the wrist. J Am AcadOrthop Surgery. 2007 Dec;15:757- 764.\r\n6.\tLi Viet D, Lantieri L. De-Quervain’stenosynovitis transversal scar & fixation of the capsular flap. Rev ChirOrthopReparatriceAppar Mot.1992;78(2):101-106.\r\n7.\tSchellerA. Long Term results of surgical release of de-Quervain’sStenosing Tenosynovitis. IntOrthop. 2009 Oct;33(5):1301-1303.\r\n8.\tSantarlasci et al. First Extensor Compartment Release and Retinacular Sheath Reconstruction for de-Quervain’s Disease. Atlas of Hand Clinics1999;4:39-54.\r\n9.\tSlade JF. Endoscopic De-quervain’s Release. In Capo JP, Tan V. Atlas of Minimally Invasive Hand & Wrist Surgery. Informa Health Care; Newyork. 2008. pp 317-319.\r\n10.\tGiles KW. Anatomic Variations affectingthe surgery of de-Quervain’s disease. JBJS. 1960;42B(2):352-355. Available at http://www.bjj.boneandjoint.org.uk/content/42-B/2/352.full.pdf\r\n11.\tJackson WT et al. Anatomical variations in first extensor compartment of wrist.JBJS. 1986;68(6):923-926.\r\n12.\tBelsole RJ. De Quervain’s tenosynovitis: diagnostic and operative complications.Orthopedics. 1981;4:899–903.\r\n13.\tKeon- Cohen B. de-Quervains disease. JBJS. 1951;33B:96-99.\r\n14.\tBahm AJ et al. The anatomy of de –Quervain’s.IntOrthop. 1995;19:209-211.\r\n15.\tChhem et al. Ultrasonography of the musculoskeletal system.RadiolClini North Am.1994;32(2):275-289.\r\n16.\tGiovagnorio F et al. Ultrasonographicevaluation of de-Quervain’s disease. J Ultrasound Med. 1997;16:685-689." relation_type: [] relation_uri: [] reportno: ~ rev_number: 11 series: ~ source: ~ status_changed: 2015-02-21 14:35:53 subjects: - OJHAS succeeds: ~ suggestions: ~ sword_depositor: ~ sword_slug: ~ thesistype: ~ title: Optimisation of Surgical Results in de-Quervain’s Disease type: journale userid: 4338 volume: 4(6)