TO DETERMINE EFFECTIVENESS OF SURGICAL RELEASE IN MANAGEMENT OF DE QUERVAIN'S TENOSYNOVITIS

Main Article Content

Dr Atanu Kayal1, Dr Sudip Chandra Mondal2, Dr Suman Misra 3 (Corresponding Author)

Keywords

De Quervain's tenosynovitis, Surgical treatment and Longitudinal incision.

Abstract

Introduction: De Quervain tenosynovitis is first described by Fritz de Quervain, in 1895. It involves tendon entrapment of the first dorsal compartment of the wrist and thickening of the tendon sheaths of first dorsal compartment the abductor pollicis longus and extensor pollicis brevis, where the tendons pass through the fibro-osseous tunnel located along the radial styloid at the distal wrist. Pain is exacerbated by thumb movement and radial or ulnar deviation of the wrist. The prevalence of de Quervain tenosynovitis is about 0.5% in men and 1.3% in women with peak prevalence in their fourth and fifth decades of life respectively. Materials and Methods: The present study was a prospective study. This Study was conducted from December 2021 to December 2022 at Department of Rampurhat Government Medical College and Hospital, West Bengal, India. Result: In the total of 20 patients were included, out of which 16 patients are female and 4 patients are male. Conclusion: Surgical release has excellent outcome; splinting and local steroid injection can be an alternative treatment option for DQ disease especially in patients with low grade disease.

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References


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