TY - JOUR
T1 - Radial ridge excision for symptomatic volar tendon subluxation following de quervain's release
AU - Collins, Evan D.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2014/9
Y1 - 2014/9
N2 - Traditional surgical release to address de Quervain's stenosing tenosynovitis can lead to the rare complication of volar tendon subluxation. This study presents a surgical procedure, which entails excision of the radial ridge as an alternative treatment to relieve pain associated with symptomatic volar tendon subluxation following de Quervain's release. The procedure was performed on 6 patients complaining of painful volar tendon subluxation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB), following a first dorsal compartment release and postoperative splinting. We opened the same incision sharply, with direct view of the tendons of the first dorsal compartment. The wrist was ranged through extension and flexion, and volar subluxation of the APL and EPB over the prominent radial ridge was confirmed. The bony portion of the radial ridge was excised and filed smooth. The periosteal flap is advanced over the ridge and sutured into place. The APL and EPB tendons were released from dorsal retractors. All patients reported relief upon follow-up. Excision of this ridge removes the obtrusive friction to the APL and EPB tendons, allowing them to glide painlessly over the radial styloid. r 2014 by Lippincott Williams & Wilkins.
AB - Traditional surgical release to address de Quervain's stenosing tenosynovitis can lead to the rare complication of volar tendon subluxation. This study presents a surgical procedure, which entails excision of the radial ridge as an alternative treatment to relieve pain associated with symptomatic volar tendon subluxation following de Quervain's release. The procedure was performed on 6 patients complaining of painful volar tendon subluxation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB), following a first dorsal compartment release and postoperative splinting. We opened the same incision sharply, with direct view of the tendons of the first dorsal compartment. The wrist was ranged through extension and flexion, and volar subluxation of the APL and EPB over the prominent radial ridge was confirmed. The bony portion of the radial ridge was excised and filed smooth. The periosteal flap is advanced over the ridge and sutured into place. The APL and EPB tendons were released from dorsal retractors. All patients reported relief upon follow-up. Excision of this ridge removes the obtrusive friction to the APL and EPB tendons, allowing them to glide painlessly over the radial styloid. r 2014 by Lippincott Williams & Wilkins.
KW - Abductor pollicis longus (apl)
KW - De quervain's disease
KW - Extensor pollicis brevis (epb)
KW - Radial ridge
KW - Volar tendon subluxation
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U2 - 10.1097/BTH.0000000000000054
DO - 10.1097/BTH.0000000000000054
M3 - Article
C2 - 24977493
AN - SCOPUS:84903335069
VL - 18
SP - 143
EP - 145
JO - Techniques in hand & upper extremity surgery
JF - Techniques in hand & upper extremity surgery
SN - 1089-3393
IS - 3
ER -