Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up
Abstract Purpose To compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain’s disease. Methods From 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain’s disease de...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1393-5 |
| _version_ | 1811303853009666048 |
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| author | Xiao-hui Gu Zhe-ping Hong Xin-ji Chen Yu Tong Jian-fei Hong Zong-ping Luo Qing Bi |
| author_facet | Xiao-hui Gu Zhe-ping Hong Xin-ji Chen Yu Tong Jian-fei Hong Zong-ping Luo Qing Bi |
| author_sort | Xiao-hui Gu |
| collection | DOAJ |
| description | Abstract Purpose To compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain’s disease. Methods From 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain’s disease despite a minimum of 3 months non-operative treatment. Of the 50 patients who met the inclusion criteria, 41 patients were followed-up for a mean of 7.21 years postoperatively. Among these 41 wrists, 20 underwent tendoscopic release (group A), and 21 underwent open release (group B). The clinical evaluations were performed preoperatively, 1 month postoperatively and at last follow-up visit, using visual analog scale (VAS); the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome score; and the Finkelstein’s test. The Patient and Observer Scar Assessment Scale (POSAS) was used as an esthetic evaluation tool of the scar at last follow-up. Results No significant baseline differences were found between two groups. The average time return to work in group A was less than in group B (P < 0.05), The mean VAS and DASH scores improved significantly in both groups at 1 month and last follow-up visit (P < 0.001). At 1 month, the scores in group A were significantly better than in group B (P < 0.05 and P < 0.001, respectively). There was no difference between groups at last follow-up. In addition, the improvement of the mean DASH score was significantly greater in group A than in group B (34.74 ± 10.99 in group A and 23.58 ± 12.01 in group B, P < 0.01) at 1 month. For POSAS scale, both the OSAS and PSAS scores were significantly better in group A. One patient in group A had cephalic vein injury and 3 patients in group B was involved with radial sensory nerve injury. All patients showed negative on Finkelstein’s test at last follow-up. Conclusions The results of this study suggest that tendoscopic technique for de Quervain’s disease could provide earlier symptom relief and earlier recovery with fewer complications and more desirable scar, as well as equivalent successful long-term outcome, when compared with traditional open release technique. |
| first_indexed | 2024-04-13T07:55:32Z |
| format | Article |
| id | doaj.art-2c8979151d9c4891a17853b22c02678e |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T07:55:32Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-2c8979151d9c4891a17853b22c02678e2022-12-22T02:55:25ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-11-011411710.1186/s13018-019-1393-5Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-upXiao-hui Gu0Zhe-ping Hong1Xin-ji Chen2Yu Tong3Jian-fei Hong4Zong-ping Luo5Qing Bi6Orthopaedic Institute, Department of Orthopaedics, The First Affiliated Hospital of SooChow UniversityDepartment of Orthopaedic Surgery, Zhejiang Provincial People’s Hospital and People’s Hospital of Hangzhou Medical CollegeThe Second Affiliated Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital of Wenzhou Medical UniversityDepartment of Orthopaedic Surgery, Zhejiang Provincial People’s Hospital and People’s Hospital of Hangzhou Medical CollegeOrthopaedic Institute, Department of Orthopaedics, The First Affiliated Hospital of SooChow UniversityDepartment of Orthopaedic Surgery, Zhejiang Provincial People’s Hospital and People’s Hospital of Hangzhou Medical CollegeAbstract Purpose To compare the time return to work and long-term results of tendoscopic versus open technique for de Quervain’s disease. Methods From 2005 to 2013, either tendoscopic or open decompression was performed on 56 consecutive patients (56 wrists) with symptomatic de Quervain’s disease despite a minimum of 3 months non-operative treatment. Of the 50 patients who met the inclusion criteria, 41 patients were followed-up for a mean of 7.21 years postoperatively. Among these 41 wrists, 20 underwent tendoscopic release (group A), and 21 underwent open release (group B). The clinical evaluations were performed preoperatively, 1 month postoperatively and at last follow-up visit, using visual analog scale (VAS); the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome score; and the Finkelstein’s test. The Patient and Observer Scar Assessment Scale (POSAS) was used as an esthetic evaluation tool of the scar at last follow-up. Results No significant baseline differences were found between two groups. The average time return to work in group A was less than in group B (P < 0.05), The mean VAS and DASH scores improved significantly in both groups at 1 month and last follow-up visit (P < 0.001). At 1 month, the scores in group A were significantly better than in group B (P < 0.05 and P < 0.001, respectively). There was no difference between groups at last follow-up. In addition, the improvement of the mean DASH score was significantly greater in group A than in group B (34.74 ± 10.99 in group A and 23.58 ± 12.01 in group B, P < 0.01) at 1 month. For POSAS scale, both the OSAS and PSAS scores were significantly better in group A. One patient in group A had cephalic vein injury and 3 patients in group B was involved with radial sensory nerve injury. All patients showed negative on Finkelstein’s test at last follow-up. Conclusions The results of this study suggest that tendoscopic technique for de Quervain’s disease could provide earlier symptom relief and earlier recovery with fewer complications and more desirable scar, as well as equivalent successful long-term outcome, when compared with traditional open release technique.http://link.springer.com/article/10.1186/s13018-019-1393-5 |
| spellingShingle | Xiao-hui Gu Zhe-ping Hong Xin-ji Chen Yu Tong Jian-fei Hong Zong-ping Luo Qing Bi Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up Journal of Orthopaedic Surgery and Research |
| title | Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up |
| title_full | Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up |
| title_fullStr | Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up |
| title_full_unstemmed | Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up |
| title_short | Tendoscopic versus open release for de Quervain’s disease: earlier recovery with 7.21 year follow-up |
| title_sort | tendoscopic versus open release for de quervain s disease earlier recovery with 7 21 year follow up |
| url | http://link.springer.com/article/10.1186/s13018-019-1393-5 |
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