The anatomy of de Quervain's disease. A study of operative findings.
We have studied the anatomical findings at operation on 67 patients with De Quervain's disease, 5% of whom had bilateral lesions, compared with published series of cadaveric dissections. There was division with a septum in the extensor compartment in 60%. The abductor pollicis longus had more than one tendon in 76% and extensor pollicis brevis was represented by a single tendon in 96%. If there was an anatomical predisposition to the condition, more cases would have been bilateral. A septum and a crowded compartment are mainly responsible for the failure of steroid injections.
Bahm
J
J
SOS Hand Centre, Strasbourg, France.
Szabo
Z
Z
Foucher
G
G
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013710:Tendons / Q000033:anatomy & histology* / Q000601:surgery; D013717:Tenosynovitis / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome; D014955:Wrist Joint / Q000033:anatomy & histology* / Q000601:surgery