The anatomy of de Quervain's disease: a study of operative findings

We have studied the anatomical findings at operation on 67 patients with De Quervain's disease, 5% of whom had bilateral lesions, compared with published series of cadaveric dissections. There was division with a septum in the extensor compartment in 60%. The abductor pollicis longus had more t...

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Bibliographic Details
Published in:International orthopaedics 1995-08, Vol.19 (4), p.209-211
Main Authors: BAHM, J, SZABO, Z, FOUCHER, G
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diseases of the osteoarticular system
Female
Humans
Juxtaarticular diseases. Extraarticular rhumatism
Male
Medical sciences
Middle Aged
Tendons - anatomy & histology
Tendons - surgery
Tenosynovitis - pathology
Tenosynovitis - surgery
Treatment Outcome
Wrist Joint - anatomy & histology
Wrist Joint - surgery
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Description
Summary:We have studied the anatomical findings at operation on 67 patients with De Quervain's disease, 5% of whom had bilateral lesions, compared with published series of cadaveric dissections. There was division with a septum in the extensor compartment in 60%. The abductor pollicis longus had more than one tendon in 76% and extensor pollicis brevis was represented by a single tendon in 96%. If there was an anatomical predisposition to the condition, more cases would have been bilateral. A septum and a crowded compartment are mainly responsible for the failure of steroid injections.
ISSN:0341-2695
1432-5195
DOI:10.1007/BF00185223