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Doctor insights on: Dequervain S Tenosynovitis Surgery

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What is the definition or description of: dequervain's tenosynovitis surgery?

What is the definition or description of: dequervain's tenosynovitis surgery?

First Comp't Release: The surgery typically entails releasing the extensor retinaculum (ligament) overlying the first dorsal extensor compartment of the wrist. Often a subcompartment can be noted, and is released in the same setting. The goal is relieve the friction on the extensor pollicis brevis and abductor pollicis longus tendons. The apl can be found to have muliple strands for the surgeon to release as well. ...Read more

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Dr. Arnold Zuckman
116 doctors shared insights

Tenosynovitis (Definition)

When a tendon such ad one of the flexor tendons in the hand becomes inflamed it can sometimes cause pain, clicking or even locking of the finger the problem is usually treated with nsaids, local cortisone ...Read more


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38y f. I have dequervain's tenosynovitis, surgery recommended a year ago, waiting on financial aid, how serious is it to wait?Will waiting hurt it worse?

38y f. I have dequervain's tenosynovitis, surgery recommended a year ago, waiting on financial aid, how serious is it to wait?Will waiting hurt it worse?

Not serious: Dequervains' tendonitis is inflammation of the thumb tendons( 1st dorsal compt. For orthopedic surgeons). The most common tendonitis seen in the hand. Waiting to have a dequervain's release will cause no long term problems that I am aware of. ( you'll just have to put up w/ the discomfort until u can get it done)... Often a well-placed injection and splinting can " buy time" until your surgery.! ...Read more

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Would you recommend surgery for dequervains tenosynovitis?

Sometimes: In certain cases surgery may be required. Try conservative measures first: nsaids, bracing, activity modification, and a limited number (my limit is 2) of cortisone injections. ...Read more

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When would you recommend surgery for dequervains tenosynovitis?

Failed non operative: When nsaids, ice, rest, activity modification, wrist bracing, & cortisone injection have not helped and you've tried these things for 3-6 months at least. ...Read more

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De Quervain's tenosynovitis -- is the surgery effective?

De Quervain's tenosynovitis -- is the surgery effective?

Yes: If injection of steroids and bracing has not made sidnigicant improvement then the surgical release of the tendon pully is very helpful in pain relief. ...Read more

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Can de Quervain's tenosynovitis come back after surgery?

Yes but unlikely: The operation for dequervain's involves decompressing the first extensor compartment of the wrist. Sometimes, the two tendons in this compartment are in separate sub-compartments; if both are not decompressed, symptoms may continue. Also, if the sheath over the tendons scars back and becomes tight again, symptoms may recur, but this is rare. ...Read more

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Diagnosed with DeQuervain's Tenosynovitis in Jan 2013. Responded to steroid injections but had 4. Did OT. Dr saying surgery time, other suggestions?

Diagnosed with DeQuervain's Tenosynovitis in Jan 2013.  Responded to steroid injections but had 4. Did OT. Dr saying surgery time, other suggestions?

Surgery is next: With over a year of pain and 4 injections with only temp relief and OT, I think you need surgery. If symptoms are mild and livable, you can avoid surgery. But my sense is that your pain significantly interferes with your daily activities and surgery is most likely needed at this point. I would make sure you see a Hand Specialist. ...Read more

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Is surgery best for posterior tibial tenosynovitis and tibial neuritis? Also I think I have prolapsed hemorrhoid and it burns..... Help

Is surgery best for posterior tibial tenosynovitis  and tibial neuritis? Also I think I have prolapsed hemorrhoid and it burns..... Help

Orthotics: I wouldn't have surgery initially. Posterior tib tendonitis and tarsal tunnel syndrome is a result of flat feet. At your age, it is likely a flexible flat foot that can be corrected with shoe inserts or custom orthotics. Go to the store and try Dr. Scholl's orthotics before going to surgery. ...Read more

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Will i need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?

Will i need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?

Peroneus longus: You don't state if conservative care was done. Always start with rest, immobilization , etc and see if the tear will repair. The tenosynovitis should respond , then, to NSAID or injection therapy. The atf may well heal with the same rest immobilization for the peroneus longus . Good luck. ...Read more

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