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Endoscopic versus open release in patients with de Quervain’s tenosynovitis

Authors
 H. J. Kang  ;  I. H. Koh  ;  J. W. Jang  ;  Y. R. Choi 
Citation
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME , Vol.95B(7) : 947-951, 2013 
Journal Title
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME 
ISSN
 0301-620X 
Issue Date
2013
MeSH
Adult ; Aged ; De Quervain Disease/surgery* ; Disability Evaluation ; Endoscopy/adverse effects ; Endoscopy/methods* ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Postoperative Complications/epidemiology* ; Tenosynovitis/surgery* ; Tenotomy/adverse effects ; Tenotomy/methods* ; Treatment Outcome ; Wrist/pathology ; Wrist/surgery*
Keywords
Endoscopic release ; Hand ; Open release ; Upper limb ; de Quervain’s tenosynovitis
Abstract
The purpose of this study was to compare the outcome and complications of endoscopic versus open release for the treatment of de Quervain's tenosynovitis. Patients with this condition were randomised to undergo either endoscopic (n = 27) or open release (n = 25). Visual Analogue Scale (VAS) pain and Disabilities of Arm, Shoulder, and Hand (DASH) scores were measured at 12 and 24 weeks after surgery. Scar satisfaction was measured using a VAS scale. The mean pain and DASH scores improved significantly at 12 weeks and 24 weeks (p < 0.001) in both groups. The scores were marginally lower in the endoscopic group compared to the open group at 12 weeks (p = 0.012 and p = 0.002, respectively); however, only the DASH score showed a clinically important difference. There were no differences between the groups at 24 weeks. The mean VAS scar satisfaction score was higher in the endoscopic group at 24 weeks (p < 0.001). Transient superficial radial nerve injury occurred in three patients in the endoscopic group compared with nine in the open release group (p = 0.033). We conclude that endoscopic release for de Quervain's tenosynovitis seems to provide earlier improvement after surgery, with fewer superficial radial nerve complications and greater scar satisfaction, when compared with open release.
Full Text
http://www.bjj.boneandjoint.org.uk/content/95-B/7/947.long
DOI
10.1302/0301-620X.95B7.31486
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87513
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