{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:14:15Z","timestamp":1793319255264,"version":"4.5.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Incision of the dorsal side of the tendon sheath in release of De Quervain\u2019s tenosynovitis has traditionally been advocated to prevent the risk of volar tendon subluxation. We describe a novel technique of complete excision, rather than simple incision, of the first dorsal compartment tendon sheath. Over a 10-year period, 147 patients (154 wrists) underwent first dorsal compartment release using this technique of complete excision of the sheath. No postoperative immobilization is used. Patients were followed for a mean of 7.0 months. Records were assessed for any complications including reoperation, tendon subluxation, recurrence, wound complications, scar tenderness, and superficial radial sensory nerve paresthesias. There were no cases of recurrence, reoperation, or tendon subluxation after release with this technique. Postoperatively, 7 (4.5%) patients had scar tenderness and 5 (3.2%) of these patients also had superficial radial sensory nerve parasthesias, which all resolved at the time of final follow-up. Mean range of motion was 73\u00b111 degrees of flexion and 69\u00b110 degrees of extension. In contrast to simple incision, we propose that this technique provides a more complete release of the compartment without risk of symptomatic subluxation or bowstringing and provides a complete release of a separate extensor pollicis brevis subsheath or any concomitant retinacular cysts associated with the tendonitis. There is an immediate removal of the symptomatic swelling and visible, painful bump associated with the thickened retinaculum with this technique. Furthermore, no immobilization is required after surgery.<\/jats:p>","DOI":"10.1097\/bth.0000000000000488","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T09:00:34Z","timestamp":1719046834000},"page":"197-200","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["De Quervain\u2019s Tenosynovitis Release With Excision of the First Dorsal Compartment: Novel Surgical Technique and a Case Series"],"prefix":"10.1097","volume":"28","author":[{"given":"Adam","family":"Margalit","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU School of Medicine NYU Langone Health, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Bookman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU School of Medicine NYU Langone Health, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Aversano","sequence":"additional","affiliation":[{"name":"Joe DiMaggio Children\u2019s Hospital, Hollywood, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Guss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston"},{"name":"Hand Surgery PC, Newton-Wellesley Hospital, Newton, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omri","family":"Ayalon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU School of Medicine NYU Langone Health, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Paksima","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU School of Medicine NYU Langone Health, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12]]},"reference":[{"key":"R1-20250512","first-page":"641","article-title":"On a form of chronic tendovaginitis by Dr. Fritz de Quervain in la Chaux-de-Fonds. 1895","volume":"26","author":"de Quervain","year":"1997","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"757","DOI":"10.5435\/00124635-200712000-00009","article-title":"De quervain tenosynovitis of the wrist","volume":"15","author":"Ilyas","year":"2007","journal-title":"J Am Acad Orthop Surg"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/BF00185223","article-title":"The anatomy of de Quervain\u2019s disease. A study of operative findings","volume":"19","author":"Bahm","year":"1995","journal-title":"Int Orthop"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1302\/0301-620X.42B2.352","article-title":"Anatomical variations affecting the surgery of de Quervain\u2019s disease","volume":"42-B","author":"Giles","year":"1960","journal-title":"J Bone Joint Surg Br"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0363-5023(09)91111-X","article-title":"Incidence of a septum within the first dorsal compartment of the wrist","volume":"15","author":"Leslie","year":"1990","journal-title":"J Hand Surg Am"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"545","DOI":"10.3928\/0147-7447-19910501-07","article-title":"De Quervain\u2019s syndrome: surgical and anatomical studies of the fibroosseous canal","volume":"14","author":"Minamikawa","year":"1991","journal-title":"Orthopedics"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1055\/s-0039-1688700","article-title":"A prospective evaluation of the anatomy of the first dorsal compartment in patients requiring surgery for De Quervain\u2019s tenosynovitis","volume":"8","author":"Matzon","year":"2019","journal-title":"J Wrist Surg"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0363-5023(09)91110-8","article-title":"De Quervain\u2019s disease: surgical or nonsurgical treatment","volume":"15","author":"Harvey","year":"1990","journal-title":"J Hand Surg Am"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/0363-5023(94)90262-3","article-title":"Treatment of de Quervain\u2019s disease","volume":"19","author":"Weiss","year":"1994","journal-title":"J Hand Surg Am"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/01.bth.0000181105.24124.c0","article-title":"Longitudinal incision in surgical release of De Quervain disease","volume":"9","author":"Gundes","year":"2005","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R11-20250512","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4055\/cios.2014.6.4.405","article-title":"Surgical release of the first extensor compartment for refractory de Quervain\u2019s tenosynovitis: surgical findings and functional evaluation using DASH scores","volume":"6","author":"Lee","year":"2014","journal-title":"Clin Orthop Surg"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.otsr.2018.04.022","article-title":"Results of surgical treatment of De Quervain\u2019s tenosynovitis: 80 cases with a mean follow-up of 9.5 years","volume":"104","author":"Garcon","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"R13-20250512","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/BTH.0000000000000402","article-title":"Partial resection of first dorsal compartment extensor retinaculum in De Quervain\u2019s stenosing tendovaginitis release","volume":"27","author":"Monarrez","year":"2023","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R14-20250512","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/S0363-5023(87)80204-6","article-title":"de Quervain\u2019s release in working women: a report of failures, complications, and associated diagnoses","volume":"12","author":"Arons","year":"1987","journal-title":"J Hand Surg Am"},{"key":"R15-20250512","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/S0363-5023(10)80007-3","article-title":"Tendon subluxation after de Quervain\u2019s release: treatment by brachioradialis tendon flap","volume":"16","author":"McMahon","year":"1991","journal-title":"J Hand Surg Am"},{"key":"R16-20250512","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/j.1742-1241.2000.tb11853.x","article-title":"Complications of a simple procedure: de Quervain\u2019s disease revisited","volume":"54","author":"Mellor","year":"2000","journal-title":"Int J Clin Pract"},{"key":"R17-20250512","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/S0749-0712(21)01035-0","article-title":"Complications of conservative and surgical treatment of de Quervain\u2019s disease and trigger fingers","volume":"10","author":"Sampson","year":"1994","journal-title":"Hand Clin"},{"key":"R18-20250512","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/S0363-5023(84)80017-9","article-title":"Symptomatic palmar tendon subluxation after surgical release for de Quervain\u2019s disease: a case report","volume":"9","author":"White","year":"1984","journal-title":"J Hand Surg Am"},{"key":"R19-20250512","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1055\/s-0035-1556862","article-title":"Pulley reconstruction as part of the surgical treatment for de Quervain disease: surgical technique with medium-term results","volume":"4","author":"van der Wijk","year":"2015","journal-title":"J Wrist Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000488","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:10:41Z","timestamp":1747066241000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000488"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,21]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000488","relation":{},"ISSN":["1531-6572"],"issn-type":[{"value":"1531-6572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,21]]}}}