De Quervain’s disease: Ultrasound-guided release

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-05-01 DOI:10.1016/j.hansur.2025.102087

Francisco Javier Ferreira Villanova , Vincent Martinel , Olivier Marès

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引用次数: 0

Abstract

Purpose

This study aimed to evaluate the outcomes of a novel antegrade, ultrasound-guided release of the first extensor tendon compartment for treating De Quervain’s disease.

Methods

We conducted a retrospective, single-center study of 34 patients who underwent ultrasound-guided release of the first extensor compartment for clinically diagnosed De Quervain’s disease between June 2022 and December 2023. Inclusion criteria included age >18 years and failure of conservative treatment (e.g., NSAIDs, physiotherapy, and steroid injection) for more than six weeks. Exclusion criteria were prior trigger thumb surgery and documented allergy to local anesthetics. Outcomes were assessed using pain intensity (visual analog scale, VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores, and complication rates.

Results

The mean VAS for pain improved from 7.4 to 1.1, and the QuickDASH score improved from 55 to 9.4 at the final follow-up. We recorded three minor complications and no major complications.

Conclusion

Ultrasound-guided surgical release of the first extensor compartment for De Quervain’s disease is a minimally invasive, technologically advanced, and effective treatment option.

查看原文本刊更多论文

De Quervain病：超声引导下的释放。

目的：本研究旨在评估一种新型顺行、超声引导下第一伸肌腱室松解术治疗De Quervain病的效果。方法：我们对34例在2022年6月至2023年12月期间接受超声引导下第一伸肌室松解术治疗临床诊断为De Quervain病的患者进行了回顾性、单中心研究。纳入标准为年龄bb0 ~ 18岁，保守治疗（如非甾体抗炎药、物理治疗和类固醇注射）失败超过6周。排除标准为先前的触发拇指手术和有记录的局部麻醉剂过敏。结果通过疼痛强度（视觉模拟量表，VAS）、手臂、肩膀和手的快速残疾（QuickDASH）评分和并发症发生率进行评估。结果：最终随访时疼痛VAS评分从7.4分提高到1.1分，QuickDASH评分从55分提高到9.4分。我们记录了3例轻微并发症，无重大并发症。结论：超声引导下第一伸肌室松解术治疗De Quervain病是一种微创、技术先进、有效的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.