Background: de Quervain's disease is a condition in which there is pain in the radial styloid process caused by stenosing tenosynovitis of the abductor pollicis longus (APL) or/and extensor pollicis brevis (EPB) tendons in the first extensor compartment of the wrist. In this study we studied variations in the tendons of the EPB in the first extensor compartment and its site of insertion.
Methods: One hundred fifty six upper limbs from adult cadavers of south Indian origin were dissected to observe the number of EPB tendons and the presence of an osseo-fibrous septum in the first extensor compartment of the wrist.
Results: The EPB had a single tendon in 133 limbs, double tendons in 17 limbs and triple tendons in only 6 limbs. The EPB was present in all of the upper limbs in our study. In 34.6% of cases, the tendons of the EPB were separated from the tendons of APL by an osseo-fibrous septum in the first extensor compartment.
Conclusion: Variation in the number of EPB tendons and site of insertion should be taken into consideration by clinicians and surgeons when performing surgical decompression of the first extensor compartment of the wrist in de Quervain's syndrome. Surgical failure may occur due to overlooking variations in EPB tendons or septation of the first extensor compartment.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Tendinopathies around the hand and wrist are common. Most are diagnosed easily with a thorough history and clinical examination. Common conditions involving the hand and wrist include trigger finger, de Quervain tenosynovitis, intersection syndrome, third and fourth extensor compartment tenosynovitis, extensor carpi ulnaris tendinitis, and flexor carpi radialis tendinitis.
View Article and Find Full Text PDF[Cancellous bone harvesting from the distal radius for reconstruction of bone defects in the hand].
Oper Orthop Traumatol
December 2024
Unfall‑, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.
Objective: Extraction of cancellous bone from the distal radius for reconstructive procedures on the hand.
Indications: All reconstructive procedures on the hand for which a corticocancellous and/or vascularized bone graft or a large amount of cancellous bone is not required.
Contraindications: Acute distal radius fracture, osteosynthesis material embedded in the distal radius, e.
The Use of Platelet-Rich Plasma in De Quervain's Tenosynovitis: A Systematic Review.
Cureus
November 2024
Pediatric Surgery, Salmaniya Medical Complex, Manama, BHR.
De Quervain's disease (DQVD) is the stenosing tenosynovitis of tendons in the first extensor compartment of the forearm. It is a common inflammatory condition that is often treated conservatively. While conservative therapy is an effective modality of treatment for a large number of patients suffering from DQVD, some patients do not improve with conservative measures.
View Article and Find Full Text PDFEfficacy of Local Intralesional Steroid Injection for Pain Relief in De Quervain's Tenosynovitis.
Cureus
November 2024
Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.
Introduction: Conservative treatment options, such as rest, massage, cold and heat packs, wrist splints, braces, physical therapy, thumb spica casts, and local steroid injections, have been used with mixed results to treat De Quervain's tenosynovitis. Surgical treatment, like releasing the first dorsal wrist compartment, is the last resort for resistant cases of De Quervain's tenosynovitis, exhibiting an efficacy of 91%. However, complications and increased expenses have limited the use of surgical interventions.
View Article and Find Full Text PDFExtensor pollicis brevis reconstruction using the extensor digitorum proprius tendon through the first dorsal compartment for a clasped thumb in an adolescent.
BMJ Case Rep
December 2024
Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
Clasped thumb is characterised by thumb adduction and flexion deformity at the metacarpophalangeal joint caused by abnormalities in the extensor tendons. While conservative treatments are effective in infants, surgical intervention is necessary for older who experience deformities or functional impairments. We report an adolescent patient with an untreated clasped thumb who underwent extensor pollicis brevis (EPB) reconstruction using the extensor indicis proprius (EIP) tendon through the first dorsal compartment.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!