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Outcome of longitudinal versus transverse incision in de Quervain’s disease and its implications in Indian population

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Abstract

Background

de Quervain’s disease is an inadequacy into the first extensor compartment of wrist between the osteofibrous tunnel and the tendons. This mechanical conflict generates a tenosynovitis of the extensor pollicis brevis and the abductor pollicis longus tendons in first dorsal extensor compartment of the wrist.

Aim

(1) To compare the clinical results obtained by longitudinal and transverse incisions and (2) the implication of clinical results in Indian population.

Materials and methods

This study was conducted at Kalpana Chawla Government Medical College, Karnal, Haryana. The inclusion criteria were positive Finkelstein’s test and no response to non-surgical treatment for 6 weeks. Forty-eight patients with de Quervain’s disease who did not respond to conservative treatment were operated with two different incisions. The patients were followed at 6 weeks, 3 and 6 months to compare the surgical outcomes.

Results

During a three-month follow-up, a significant difference was shown between the two methods (p = 0.0001). Results of surgical treatment with longitudinal incision were better (only one hypertrophic scar), but there were 12 postoperative complications with transverse incision. Visual analog scale (VAS) was used to evaluate the hypertrophic scar. In transverse incision group, out of five patients, four patients who developed hypertrophic scar have poor score according to VAS.

Conclusion

Overall, longitudinal incision should be used for surgical treatment for de Quervain’s disease due to lower risk of complications.

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References

  1. Aleqado RB, Meals RA (1979) An unusual complication following surgical treatment of de Quervain’s disease. J Hand Surg Am 4(2):185–611

    Article  Google Scholar 

  2. Bouras Y, EI Andaloussi Y, Zaouari T, Touil N, Fnini S, Chikhaoui N, Largab A (2010) Surgical treatment in De Quervain’s tenosynovitis About 20 cases. Ann Chir Plast Esthet 55(1):42–45

    Article  CAS  PubMed  Google Scholar 

  3. Duncan JAL, Bond JS, Mason T et al (2006) Visual Analogue Scale scoring and ranking: a suitable and sensitive method for assessing scar quality? PRS 118(4):909–918

    CAS  Google Scholar 

  4. Faithful DK, Lamb DW (1971) de Quervain’s disease—A clinical review. Hand 3:23–30

    Article  Google Scholar 

  5. Gousheh J, Yavari M, Arasteh E (2009) Division of the first dorsal compartment of the hand into two separated canals: rule or exception? Arch Iran Med 12(1):52–54

    PubMed  Google Scholar 

  6. Harvey FJ, Harvey PM, Horsley MW (1990) De Quervain’s disease: surgical or nonsurgical treatment. J Hand Surg Am 15(1):83–87

    Article  CAS  PubMed  Google Scholar 

  7. Hanlon DP, Luellen JR (1999) Intersection syndrome : a case report and review of the literature. J Emerg Med 17(6):969–971

    Article  CAS  PubMed  Google Scholar 

  8. Ilyas AM, Ast M, Schaffer AA, Thoder J (2007) De quervain tenosynovitis of the wrist. J Am Acad Orthop Surg 15(12):757–764

    Article  PubMed  Google Scholar 

  9. Leslie WD (2006) The scintigraphic appearance of de Quervain tenosynovitis. Clin Nucl Med 10:602–604

    Article  Google Scholar 

  10. Le Viet D, Lantieri L, De Quervain’s tenosynovitis (1992) Transversal scar and fixation of the capsular flap. Rev Chir Orthop Reparatrice Appar Mot 78(2):101–106

    PubMed  Google Scholar 

  11. Scheller A, Schuh R, Honle W, Schuh A (2009) Long-term results of surgical release of de Quervain’s stenosing tenosynovitis. Int Orthop 33(5):1301–1303

    Article  PubMed  PubMed Central  Google Scholar 

  12. Weiss AP, Akelman E, Tabatabai M (1994) Treatment of de Quervain’s disease. J Hand Surg Am 19(4):595–598

    Article  CAS  PubMed  Google Scholar 

  13. Wetterkamp D, Rieger H, Brug E (1997) 100 years tendovaginitis stenosans de Quervain—review of the literature and personal results. Handchir Mikrochir Plast Chir 29(4):214–217

    CAS  PubMed  Google Scholar 

Download references

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Author notes

  1. Kuljit Kumar

    Present address: ESIC Medical College and Hospital, Faridabad, Haryana, India

Authors and Affiliations

  1. Department of Orthopaedics, Kalpana Chawla Government Medical College, Karnal, Haryana, India

    Kuljit Kumar

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  1. Kuljit Kumar
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Correspondence to Kuljit Kumar.

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Kumar, K. Outcome of longitudinal versus transverse incision in de Quervain’s disease and its implications in Indian population. Musculoskelet Surg 100, 49–52 (2016). https://doi.org/10.1007/s12306-015-0388-6

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  • DOI: https://doi.org/10.1007/s12306-015-0388-6

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