Haque M M, Datta N K, Faisal M A, Islam A, Uddin M J, Tarik M M, Hossain M A
Dr Md Maksudul Haque, Junior Consultant, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh.
Mymensingh Med J. 2015 Apr;24(2):341-5.
DeQuervain's disease of the first dorsal compartment of the wrist, is a common wrist pathology, pain results from resisted gliding of the abductor pollicis longus and the extensor pollicis brevis tendon in the fibroosseous canal. Management of resistant cases of DeQuervain's disease with failed conservative treatment treated by surgical decompression yield satisfactory outcomes. A large number of patients being dissatisfied with the medical treatment, still present with persistent pain and positive clinical finding. Surgical decompression is an effective method for the treatment of resistant cases of DeQuervain's disease. Outcome variables were measured by Scheller, Forget and Macey evaluation criteria. Most of our patients were female 28(93.3%), housewife 17(56.7%) with mean age of 41.57 years, ranging from 25-60 years. Right sided involvement was 20(66.7%) and Left sided involvement was 10(33.3%). Restricted movement of thumb in 30(100%) were the predominant symptoms. One (3.3%) patient develop chronic tenosynovitis, 1(3.3%) patient develop hypertrophic scar. There was no wound infection in the follow-up period of 3-18 months. Satisfactory results were found in 29(96.7%).
桡骨茎突狭窄性腱鞘炎是腕部第一背侧腱鞘的常见病症，疼痛是由于拇长展肌和拇短伸肌腱在纤维骨性管道内滑动受阻所致。对于保守治疗失败的桡骨茎突狭窄性腱鞘炎难治性病例，采用手术减压治疗可取得满意效果。大量对治疗不满意的患者仍存在持续疼痛且临床检查结果呈阳性。手术减压是治疗桡骨茎突狭窄性腱鞘炎难治性病例的有效方法。结果变量采用谢勒、福尔热和梅西评估标准进行测量。我们的大多数患者为女性，共28例（93.3%），家庭主妇17例（56.7%），平均年龄41.57岁，年龄范围为25至60岁。右侧受累20例（66.7%），左侧受累10例（33.3%）。拇指活动受限30例（100%）是主要症状。1例（3.3%）患者发生慢性腱鞘炎，1例（3.3%）患者出现增生性瘢痕。在3至18个月的随访期内无伤口感染。29例（96.7%）取得满意结果。
