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TREATMENT OF DE QUERVAIN TENOSYNOVITIS

1 – What are the reasons why a release of de Quervain tenosynovitis is required?

What is a a Tenosynovitis of Tenosynovitis :

This is an irritation of the sheath enveloping the thumb’s two tendons (abductor longus and extensor pollicis brevis), which travel through a tunnel at the base of the thumb. This inflammatory process begins following manual activity or impact, and is maintained by the friction of the tendons as they pass through the tunnel. This leads to inflammation of the whole area, sometimes accompanied by sensitization of the nerve (sensitive branch of the radial nerve) or cyst formation at the end of the tunnel.

Why is intervention necessary?

Initially, other non-surgical therapeutic approaches may be considered:

  • Use of a splint
  • Administration of anti-inflammatory treatments
  • Physiotherapy with physiotherapy
  • Infiltration practice

If these methods fail to produce the desired results, or if the condition is particularly severe, surgical intervention is recommended.

What additional additional tests are necessary ?

Diagnosis is essentially a clinical examination of the patient.

X-rays, ultrasound scans of the tendons and even MRI scans can sometimes be useful.

2 – The derorlement de l’intervention

The procedure is usually performed under local or regional anaesthetic on an outpatient basis. The operation involves a small incision to open the sheath or tunnel surrounding the two tendons. The aim is to reduce the friction and inflammation that cause pain. In some situations, it may also be necessary to free the sensitive branch of the radial nerve in the event of irritation, or to remove a cyst if one has developed. As with any surgical procedure, certain events can disrupt the optimal course of the operation. The surgeon may decide at the last minute to cancel the operation in case of doubt (uncertainty as to the side to be operated on, uncertainty as to the equipment or sterilization, or even doubt as to the patient’s identity).

What are the typical consequences of surgery?

In general, mobilization of the fingers and wrist can be undertaken immediately. However, the surgeon may consider temporary splinting in cases of significant inflammation. Re-education may sometimes be useful, although self-education is often sufficient.

What can we expect from this surgery?

This surgery has proved effective in relieving pain. Thumb and wrist function is usually restored within a few weeks.

Tendonitis Hand Wrist

Tendonitis is an acute or chronic inflammation of the tendons, often involving their anchoring points on the bones (apophysitis), their synovial sheaths (tenosynovitis) or their bursae (tenosynovitis)….

Osteoarthritis of the wrist

Osteoarthritis of the wrist is a condition in which the wrist joints are affected by progressive deterioration of the cartilage covering the joint surfaces. This deterioration can lead to pain, stiffness, reduced mobility, …

Joint cysts

It’s an abnormal mass that can develop in different places on your hand. The most common position is on the back of the wrist. However, it can also appear at the front of the wrist, or more rarely at the base of a finger.

Osteoarthritis of the fingers

Osteoarthritis of the fingers, also known as digital osteoarthritis, is a degenerative condition affecting the finger joints. It is characterized by the progressive degradation of the cartilage that covers the ends of the joint bones.

Finger locks

Finger locking, also known as finger springs or spring fingers, is a medical condition where a finger or thumb becomes difficult to bend or unfold due to a sudden, uncontrollable contraction of the flexor tendons.

Carpal tunnel - Median nerve compression

What is the median nerve? The median nerve is one of the major nerves of the hand and arm. It originates in the spinal column and runs the length of the arm to reach the hand.

Ulnar wrist pain

Ulnar wrist pain, also known as ulnar pain, refers to a sensation of discomfort or pain felt on the ulnar or medial side of the wrist, i.e. on the side of the little finger.

Dupuytren's disease

Dupuytren’s disease is characterized by the formation of fibrous tissue (also known as fibromatosis) under the skin of the hand, leading to gradual contraction of one or more fingers towards the palm. The origins of this condition are many and varied, including familial predisposition.

Osteoarthritis of the thumb

Osteoarthritis of the thumb, also known as rhizarthrosis, is a degenerative joint condition that involves the progressive degradation of cartilage at the base of the thumb, where the wrist bone called the trapezium meets the first bone of the hand, the metacarpal. This cartilage degradation can lead to pain, stiffness and reduced joint function in this area.

Dupuytren's disease

Dupuytren’s disease is characterized by the formation of fibrous tissue (also known as fibromatosis) under the skin of the hand, causing gradual contraction of one or more fingers towards the palm. The origins of this condition are many and varied, including familial predisposition. However, despite its first description by Baron Guillaume Dupuytren in 1832, the precise origin of the disease remains unknown.

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Our surgeon makes you feel more confident.

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