De Quervain's Release
Presented by Dr. Pankaj Jindal · MS (Orthopaedics); Hand Surgery Fellowships (France, Michigan, Louisville)
De Quervain's Release
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Sign in to watchCreate a free accountA female patient with de Quervain’s tenosynovitis presented with pain and swelling over the radial styloid, corresponding to the first dorsal extensor compartment containing the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. Clinical localisation differentiated this from scaphoid pathology and first carpometacarpal joint arthritis.
Discussion
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Successful de Quervain’s release requires protection of the superficial radial nerve and systematic identification of every tendon slip and subcompartment. Failure to release a separate EPB sheath may result in persistent postoperative symptoms.
Key takeaway
Successful de Quervain’s release requires protection of the superficial radial nerve and systematic identification of every tendon slip and subcompartment. Failure to release a separate EPB sheath may result in persistent postoperative symptoms.