Functional outcomes after open versus endoscopic-assisted De Quervain's release.

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Minimally Invasive Procedures

Background:

• De Quervain's disease is a common condition affecting the tendons on the thumb side of the wrist.
• Surgical intervention is often necessary for persistent symptoms.
• Open release and endoscopic release are two primary surgical approaches.

Purpose of the Study:

• To compare the functional outcomes and complication rates of open versus single-portal endoscopic release for De Quervain's disease.
• To evaluate patient recovery and satisfaction between the two surgical techniques.

Main Methods:

• A comparative study involving 44 patients with De Quervain's syndrome.
• Patients were surgically treated via either open release (n=15) or single-portal endoscopic release (n=29).
• Postoperative outcomes assessed included pain scales, functional scores (DASH, Mayo Wrist), and grip/pinch strength, with a mean follow-up of 41 months.

Main Results:

• No significant demographic or preoperative differences were observed between the open and endoscopic groups.
• Both surgical methods resulted in significant postoperative improvements in pain and function.
• Functional outcomes and complication rates were comparable, though endoscopic release showed a trend towards better grip strength recovery (94% vs 76%).

Conclusions:

• Open and endoscopic release are both effective treatments for De Quervain's syndrome, providing good pain relief and functional recovery.
• Endoscopic-assisted surgery offers the advantage of a smaller incision.
• While requiring surgical experience, endoscopic techniques are a viable alternative to open release.