Pulley Reconstruction Following Surgical Release of DC۱ Pulley in De Quervain’s Tenosynovitis: Surgical Technique and Case Series
Publish place: The Archives of Bone and Joint Surgery، Vol: 10، Issue: 5
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_TABO-10-5_013
تاریخ نمایه سازی: 21 اردیبهشت 1401
Abstract:
De Quervain’s disease (DQD) is tenosynovitis of the first dorsal compartment (DC۱) of the wrist between the osteofibrous tunnel and the tendons involving the APL and EPB sheaths at the radial styloid. Surgical intervention is indicated when pain does not resolve despite ۳ to ۶ months of conservative management. Release of the first dorsal compartment is an effective treatment of DQD. In addition to surgical release, we performed pulley reconstruction using a new technique in the present series of ۲۰ patients which has not been previously described with a followup of over ۱ year. All patients showed a consistent improvement in VAS score at over one year followup with resolution of Finkelstein, Eichoff and WHAT test. Only one temporary neuropraxia was encountered due to stretching/scar entrapment of superficial branch of radial nerve. Our innovative technique of pulley reconstruction is not only easy to understand and perform but has shown consistent result in the ۲۰ cases operated with this technique with a follow up of at least ۱ year. The technique has the distinct advantage of having a quick learning curve and gives reliable, lasting results without complications or recurrence. Level of evidence: IV
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Authors
Ankit Khurana
Department of Orthopaedics, ESI Hospital Rohini, Delhi, India
Pratik Agarwal
Department of Orthopaedics, ESI Hospital Rohini, Delhi, India
Shailendra Chandra Gupta
Department of Orthopaedics, ESI Hospital Rohini, Delhi, India
Kuldeep Malik
Department of Orthopaedics, ESI Hospital Rohini, Delhi, India
Vishal Jain
Department of Orthopaedics, ESI Hospital Rohini, Delhi, India