De quervain disease: Ibri technique to avoid superficial radial nerve injury.
Tenosynovitis of the first dorsal compartment of the wrist, commonly known as de Quervain disease, is most of the time amenable to conservative treatment in form of splinting and injection of steroids into the compartment. Resistant cases need surgical release of the compartment but with high incidence of incomplete release owing to tendon anomalies and damage to the superficial branch of the radial nerve (SBRN). Many techniques evolved for a period of years, techniques using longitudinal, transverse, and oblique incisions, but damage to SBRN still remains unsolved. The authors describe a technique they have been using since 2004 and, so far, operated on 17 wrists without a single incidence of damage to the SBRN.
Suresh
Saraswathivilasam S
SS
Department of Orthopaedics, Ibri Regional Referral Hospital, Ibri, Sultanate of Oman. dr.s.s.suresh@gmail.com
Zaki
Hosam
H
D053684:De Quervain Disease / Q000175:diagnosis / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010147:Pain Measurement; D011826:Radial Nerve / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014955:Wrist Joint / Q000294:innervation / Q000601:surgery*