The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy
BackgroundThis study aimed to compare the effectiveness and safety of the percutaneous first extensor compartment performed by acupotomy procedure with or without ultrasonic (US) guidance.MethodsThe percutaneous release was performed with an acupotomy on 40 wrists of cadavers, which was divided into...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1034716/full |
| _version_ | 1797960069644550144 |
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| author | Yifeng Shen Yifeng Shen Qiaoyin Zhou Qiaoyin Zhou Xiaojie Sun Zuyun Qiu Yan Jia Shiliang Li Shiliang Li Shiliang Li Weiguang Zhang |
| author_facet | Yifeng Shen Yifeng Shen Qiaoyin Zhou Qiaoyin Zhou Xiaojie Sun Zuyun Qiu Yan Jia Shiliang Li Shiliang Li Shiliang Li Weiguang Zhang |
| author_sort | Yifeng Shen |
| collection | DOAJ |
| description | BackgroundThis study aimed to compare the effectiveness and safety of the percutaneous first extensor compartment performed by acupotomy procedure with or without ultrasonic (US) guidance.MethodsThe percutaneous release was performed with an acupotomy on 40 wrists of cadavers, which was divided into US guidance operation and blind operation. Each arm was dissected and assessed regarding the amount of release and the extent of neurovascular and tendon injury. An analysis of finite biomechanical elements based on wrists specimen data is analyzed to observe the stress of the first extensor tendon compartment. A prospective study observed the pain visual analogue score(VAS) and Patient-Rated Wrist Evaluation (PRWEB) changes after the ultrasound guidance or blind acupotomy treatment in 30 dQD patients.ResultsThe success rate in the ultrasound-guided technique was 85%, and the blind technique was 70% in the cadaver study, both techniques without neurovascular injury. There was no statistically significant difference between the two groups in measuring the distance from the incision marks to the blood vessels and nerves (P > 0.05). According to the biomechanical analysis, the tendon friction rubs when the wrist is upright. When the wrist is flexed, the tendon and tendon sheath is stressed in the bone ridges. In this prospective study, both ultrasound guidance and blind acupotomy treatment achieved well improvements in pain and function (P < 0.05), but the results with no statistically significant between groups (P > 0.05).ConclusionBoth blind and US-guided percutaneous release by acupotomy of the first extensor tendon compartment can get a good result. US-guided techniques can improve the success rate during acupotomy operations, especially for beginners and followers. |
| first_indexed | 2024-04-11T00:40:41Z |
| format | Article |
| id | doaj.art-bdebe70a6abb422792279805adb4be87 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:40:41Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-bdebe70a6abb422792279805adb4be872023-01-06T07:33:59ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10347161034716The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomyYifeng Shen0Yifeng Shen1Qiaoyin Zhou2Qiaoyin Zhou3Xiaojie Sun4Zuyun Qiu5Yan Jia6Shiliang Li7Shiliang Li8Shiliang Li9Weiguang Zhang10College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaUrology Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaCollege of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaKey Laboratory of Orthopedics & Traumatology of Traditional Chinese Medicine and Rehabilitation, Ministry of Education, FuJian University of TCM. Fuzhou, ChinaDepartment of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing, ChinaTraditional Chinese Medicine Department, Beijing Jishuitan Hospital, Beijing, ChinaDepartment of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing, ChinaCollege of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaKey Laboratory of Orthopedics & Traumatology of Traditional Chinese Medicine and Rehabilitation, Ministry of Education, FuJian University of TCM. Fuzhou, ChinaDepartment of Acupuncture and Moxibustion, China-Japan Friendship Hospital, Beijing, ChinaHealth Science Center, Peking University, Beijing, ChinaBackgroundThis study aimed to compare the effectiveness and safety of the percutaneous first extensor compartment performed by acupotomy procedure with or without ultrasonic (US) guidance.MethodsThe percutaneous release was performed with an acupotomy on 40 wrists of cadavers, which was divided into US guidance operation and blind operation. Each arm was dissected and assessed regarding the amount of release and the extent of neurovascular and tendon injury. An analysis of finite biomechanical elements based on wrists specimen data is analyzed to observe the stress of the first extensor tendon compartment. A prospective study observed the pain visual analogue score(VAS) and Patient-Rated Wrist Evaluation (PRWEB) changes after the ultrasound guidance or blind acupotomy treatment in 30 dQD patients.ResultsThe success rate in the ultrasound-guided technique was 85%, and the blind technique was 70% in the cadaver study, both techniques without neurovascular injury. There was no statistically significant difference between the two groups in measuring the distance from the incision marks to the blood vessels and nerves (P > 0.05). According to the biomechanical analysis, the tendon friction rubs when the wrist is upright. When the wrist is flexed, the tendon and tendon sheath is stressed in the bone ridges. In this prospective study, both ultrasound guidance and blind acupotomy treatment achieved well improvements in pain and function (P < 0.05), but the results with no statistically significant between groups (P > 0.05).ConclusionBoth blind and US-guided percutaneous release by acupotomy of the first extensor tendon compartment can get a good result. US-guided techniques can improve the success rate during acupotomy operations, especially for beginners and followers.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1034716/fullde quervain's diseasetendonitisacupotomyultrasound guidanceanatomy |
| spellingShingle | Yifeng Shen Yifeng Shen Qiaoyin Zhou Qiaoyin Zhou Xiaojie Sun Zuyun Qiu Yan Jia Shiliang Li Shiliang Li Shiliang Li Weiguang Zhang The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy Frontiers in Surgery de quervain's disease tendonitis acupotomy ultrasound guidance anatomy |
| title | The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy |
| title_full | The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy |
| title_fullStr | The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy |
| title_full_unstemmed | The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy |
| title_short | The ultrasound-guided percutaneous release technique for De Quervain's disease using an acupotomy |
| title_sort | ultrasound guided percutaneous release technique for de quervain s disease using an acupotomy |
| topic | de quervain's disease tendonitis acupotomy ultrasound guidance anatomy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1034716/full |
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