title: De qeurvian tenosynovitis: clinical outcomes of surgical treatment with longitudinal and transverse incision.
abstract: OBJECTIVE
  De Quervain disease is a mechanical tenosynovitis due to inadequacy volume between abductor pollicis longus, extensor pollicis brevis and their tunnel. Treatment methods include immobilization, steroid injections, and operation. For the first time Fritz De Quervain described surgical treatment of this disease. Since then, various ways of treatment have been reported. The purpose of this study is to compare the clinical outcomes of a longitudinal incision with a transverse incision in De Quervain disease.
  
  
  METHODS
  This was a randomized controlled clinical trial conducted in three hospitals in Iran, Yazd from March 2003 to September 2008. One hundred-twenty patients with De Quervain disease who did not respond to conservative treatment were operated with two different incisions. The patients were followed for three months to compare the surgical outcomes.
  
  
  RESULTS
  During a three month follow-up, a significant difference was shown between the two methods (p=0.03). Results of surgical treatment with longitudinal incision were excellent (only 5 hypertrophic scars), but there were 13 postoperative complaints with transverse incision.
  
  
  CONCLUSIONS
  According to our findings, longitudinal incision in surgical treatment of De Quervain disease is better than transverse incision.
authors: Syyed Jalil
authors: SJ
authors: Abrisham
authors: Mohammad Hosein Akhavan
authors: MH
authors: Karbasi
authors: Jalil
authors: J
authors: Zare
authors: Zahra
authors: Z
authors: Behnamfar
authors: Arefah Dehghani
authors: AD
authors: Tafti
authors: Behzad
authors: B
authors: Shishesaz