DEQUERVAINS DISEASE - SURGICAL OR NONSURGICAL TREATMENT

被引：111

作者：

HARVEY, FJ ^{[1
]}

HARVEY, PM ^{[1
]}

HORSLEY, MW ^{[1
]}

机构：

[1] ROYAL N SHORE HOSP,HAND & MICROSURG UNIT,SYDNEY,AUSTRALIA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 01期

关键词：

D O I：

10.1016/S0363-5023(09)91110-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Ninety-one wrists in 82 consecutive patients with de Quervain's disease were treated by the one surgeon between 1978 and 1987. The treatment of 79 wrists in 71 patients who had received their entire treatment from this surgeon is analyzed. Uniformity of injection technique is thus ensured. Initial treatment in 63 wrists was an injection of steroids and local anesthetic into the tendon sheath, which gave complete relief in 45 cases. Seven wrists received two injections before the pain abated. Only 11 of the 63 injected wrists had an operation. In 10 of these the extensor pollicis brevis tendon was in a separate compartment. It is concluded that injection of steroids is the preferred initial treatment in de Quervain's disease, giving complete and lasting relief in 80% of cases. If injection fails, it appears likely that the extensor pollicis brevis tendon lies in a separate compartment. © 1990, American Society for Surgery of the Hand. All rights reserved.

引用

页码：83 / 87

页数：5

共 19 条

[1]

Finkelstein H, Stenosing tendovaginitis at the radial styloid process, J Bone Joint Surg, 12, pp. 509-540, (1930)

[2]

De Quervain F, Ueber eine form von chronischer tendovaginitis. Cor-Bl. f. Schweiz, Aerzte, 25, pp. 389-394, (1895)

[3]

Bunnell S, Surgery of the hand, pp. 332-339, (1944)

[4]

Keon-Cohen B, De Quervain's disease, J Bone Joint Surg, 33 B, pp. 96-99, (1951)

[5]

Stein AH, Ramsey RH, Key JA, Stenosing tendovaginitis at the radial styloid process (de Quervain's disease), AMA Arch Surg, 63 A, pp. 216-228, (1951)

[6]

Leao L, De Quervain's disease: a clinical and anatomical study, J Bone Joint Surg, 40 A, pp. 1063-1070, (1958)

[7]

Loomis LK, Variations of stenosing tenosynovitis at the radial styloid process, J Bone Joint Surg, 33, pp. 340-346, (1951)

[8]

Strandell G, Variations of the anatomy in stenosing tenosynovitis at the radial styloid process, Acta Chir Scand, 113, pp. 234-240, (1957)

[9]

Muckart RD, Stenosing tendovaginitis of abductor pol-licis longus and extensor pollicis brevis at the radial styloid (de Quervain's disease), Clin Orthop, 33, pp. 201-208, (1964)

[10]

Murphy ID, An unusual case of de Quervain's Syndrome: report of two cases, J Bone Joint Surg, 31 A, pp. 858-859, (1949)

← 1 2 →