Alegado R B, Meals R A
J Hand Surg Am. 1979 Mar;4(2):185-6. doi: 10.1016/s0363-5023(79)80140-9.
Symptoms of deQuervain's disease were relieved by incision of the first dorsal compartment sheath in a 43-year-old hospital employee. Three months after the operation she developed dysaesthesias in the distribution of the superficial radial nerve with wrist extension and thumb abduction. At reoperation the tendons of the first dorsal compartment were found to glide dorsally onto a fibrous remnant of the sheath and to elevate the overlying superficial radial nerve. Excision of the fibrous ridge resulted in relief of symptoms. The complication could have been avoided, in retrospect, by excising the sheath or by incising it at its dorsal attachment.
一名43岁的医院工作人员，其桡骨茎突狭窄性腱鞘炎的症状通过切开第一背侧腱鞘得以缓解。术后三个月，她在桡神经浅支分布区域出现感觉异常，表现为腕关节伸展和拇指外展时加重。再次手术时发现，第一背侧腱鞘内的肌腱向背侧滑动至腱鞘的纤维残余上，并抬高了覆盖其上的桡神经浅支。切除纤维嵴后症状缓解。回顾来看，通过切除腱鞘或在其背侧附着处切开腱鞘，本可避免该并发症的发生。
