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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. Jonathan Jassey
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Dr. Arnold Zuckman
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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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Dr. Jonathan Jassey
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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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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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Dr. Jonathan Jassey
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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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What is dequervain's tenosynovitis?

Wrist tendinitis: Dequervain's tendinitis is the name for a tendinitis related to the thumb tendons at the wrist. This form of tendinitis is very commonly seen in young parents, due to repetitively lifting their new, and ever-growing infants. The majority of patients can be treated by splinting, nsaids, and up to three steroid injections in the tendon sheath. Less <5% require surgery, but respond well if do. ...Read more

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Treatment for dequervain's tenosynovitis question i developed dequervain's tenosynovitis (right side) and saw an orthopedic surgeon. He sent me to physical therapy. The pt suggested using a splint for immobilization, and gave me one. The following week

In : In general it is beneficial to protect and rest muscles and tendons that are acutely inflamed and painful. Splinting, taping, ice and oral antiinflammatory agents such as Ibuprofen are helpful. Once the pain has subsided and the joints are stiff, then range of motion and gentle activity is most useful. I guess in a way they are both right. Best wishes. ...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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Dr. Jonathan Jassey
Board Certified, Pediatrics
11 years in practice
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