dequervain s tenosynovitis surgery

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

First Comp't Release

De_quervain_tenosynovitis
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
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Dr. David Trettin answered:

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

Splint
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.!
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What is approximate price of Dequervain's tendinitis release? I need this surgery (not immediately) but the ortho who told me about it seemed to price it a little high. I'm in Southern California, wondering was the price is for facility + surgeon. I'll c

Prices

Prices are hard to talk about. There is a fee set by the surgeon, the price that an issuance co will pay, the possibility that if there is no insurance or a finical hardship that a fee will be allowed to be satisfied with a payment plan or assistance AND doctors cannot discuss fees openly even if the end result would likely be to drive the price down via competition because of concerns of price collusion or rice fixing. You can buy everything else that way but not medical services. Thank a long standing regulation for that. Your plumber or gas station can advertise prices, doctors can't.
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Dr. Ronald Krauser answered:

What is the surgery for de quervain's tendonitis?

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Surgery
It basically involves stripping of the tendon sheath.
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Would you recommend surgery for dequervains tenosynovitis?

Sometimes

Tenosynovitis
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.
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when would you recommend surgery for dequervains tenosynovitis?

Failed non operative

Tenosynovitis
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.
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A few months ago I have surgery for deQuervains tenosynovitis and my wrist is doing great but I have pain and swelling at the base of my thumb. Why?

Thumb pain

Extremity-joint-wrist
Consider basilar thumb arthritis. Possibly tendonitis or synovitis, etc.
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Dr. Barry Press answered:

Can de quervain's tenosynovitis come back after surgery?

Yes but unlikely

Tenosynovitis
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.
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De quervain's tenosynovitis -- is the surgery effective?

Yes

Tendon
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.
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Is surgery needed for foot drop from anterior tarsal tunnel syndrome (deep peroneal nerve entrapment) from ant tib tenosynovitis from ultrasound burn?

Something does not

Nerve
sound right about this. The common peroneal nerve can cause a drop foot. The deep peroneal nerve from ant tarsal tunnel is on the top of the foot. The nerve runs deep as the name implies and hence would not be affected from ultrasound. Entrapment of this nerve would not cause a dropfoot, it usually causes numbness to the first webspace or great toe.
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