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Surgical treatment of de Quervain's disease
1Department of Surgery, DHQ Hospital, Battagram, Hazara.
Objective:
The purpose of this study was to evaluate the clinical outcome of surgical treatment of de Quervain's disease.
Study Design:
Prospective study.
Place And Duration Of Study:
The study was conducted in District Headquarters Hospital, Battagram from December, 2001 to July 2002. SUBJECTS AND METHODS Patients with de Quervain's disease who did not respond to conservative treatment with analgesics, splintage and local steroid injections were operated under local anesthesia and the tendons of abductor pollicis longus and extensor pollicis brevis were released. The patients were followed for a minimum of 3 months to assess the clinical outcome of procedure.
Results:
Female to male ratio was 9:1. All females were housewives exposed to manual work. Three of them had rheumatoid arthritis. The age range was from 30-50 years with mean age of 38 years. The results of surgical treatment were excellent with 96% patients being completely relieved of symptoms.
Conclusion:
Surgical release of tendons of first dorsal compartment of wrist has excellent results in patients with de quervain's tenosynovitis.