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De Quervain’s Disease is an inflammatory condition involving the sheath of the two tendons of the thumb. A ligament tightly secures the two tendons in place. With repetitive motion of the thumb moving away from the palm, and grasping action of the hand, abnormally formed scarring tissue deposits along the ligament which limits the room for the tendons, restricts gliding of the tendons and causes pain.
Release of De Quervain’s Disease
The Procedure
Relieve pressure on the two tendons by cutting the extensor retinaculum which the tendons pass through, and thus allowing more room for the tendons to glide more easily.
Before the Procedure
- A written consent is required.
- Inform doctors about drug allergy, your regular medications, or other medical conditions.
After the Procedure
- Proper pain relief treatment by injection or oral medication may be prescribed by the doctor.
- remain in a bandage for a couple of days.
- Keep affected hand elevated for 48 hours to help reducing any swelling and pain. Sling would be worn.
- To help prevent stiffness, gently exercise your fingers, shoulder, and elbow. To start these gentle exercises on the day of your operation as doctor’s instruction.
- The wound is covered with a sterile dressing. Keep the wound dry and clean. Follow doctor’s and nurse’s advice on wound care.
- Stitches or staples will be removed or dissolved in 2 weeks
Risk and Complication
- Pain, bleeding, scarring, infection
- Damage to the radial nerve, it is usually temporary
- Displacement of the tendons, causing a snapping or catching sensation in the wrist (very rare)
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Release of De Quervain’s Disease
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