{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T16:58:03Z","timestamp":1784653083900,"version":"3.55.0"},"reference-count":31,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,7,5]]},"abstract":"<jats:p>DeQuervain's tenosynovitis is a common cause of radial-sided wrist pain. Symptoms result from a narrow first dorsal compartment and associated tendinosis of the enclosed extensor pollicis brevis and\/or abductor pollicis longus (APL). Surgical intervention, offered when conservative measures fail to adequately relieve symptoms, requires a detailed understanding of potentially aberrant anatomy in order to avoid persistence or recurrence of symptoms. We describe a case whereby the patient presented with complaints of thumb triggering in extension and associated disabling first dorsal compartment tendinosis. Intraoperatively, after supernumerary tendons were identified and addressed, the APL was at risk for subluxation over a prominent fibroosseous ridge. Routine first dorsal compartment release alone may have failed to address all of this patient's pathology.<\/jats:p>","DOI":"10.1136\/bcr-2017-220517","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T06:40:17Z","timestamp":1501569617000},"page":"bcr-2017-220517","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Triggering of the abductor pollicis longus in association with deQuervain's tenosynovitis"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7904-8351","authenticated-orcid":false,"given":"Dustin Adam","family":"Greenhill","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J","family":"Thoder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hesham","family":"Abdelfattah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,7,31]]},"reference":[{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.1","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":"2025042712174548000_2017.jul29_1.bcr-2017-220517.2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.16.2.102"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80286-2"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.4","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"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF00185223"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.6","first-page":"49","article-title":"An anatomical study of the first extensor compartment of the wrist","volume":"73","author":"Aktan","year":"1998","journal-title":"Kaibogaku Zasshi"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.7","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s12593-012-0073-z","article-title":"A cadaveric study of the first dorsal compartment of the wrist and its content tendons: anatomical variations in the Indian population","volume":"4","author":"Roy","year":"2012","journal-title":"J Hand Microsurg"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.8","doi-asserted-by":"crossref","first-page":"549","DOI":"10.4103\/0019-5413.164038","article-title":"Anatomical variation of abductor pollicis longus in Indian population: A cadaveric study","volume":"49","author":"Tewari","year":"2015","journal-title":"Indian J Orthop"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.9","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411401986"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S0363-5023(79)80140-9","article-title":"An unusual complication following surgical treatment of deQuervain's disease","volume":"4","author":"Alegado","year":"1979","journal-title":"J Hand Surg Am"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80017-9"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.12","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/BTH.0000000000000054","article-title":"Radial ridge excision for symptomatic volar tendon subluxation following de Quervain's release","volume":"18","author":"Collins","year":"2014","journal-title":"Tech Hand Up Extrem Surg"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/S0363-5023(10)80007-3","article-title":"Tendon subluxation after de Quervain's release: treatment by brachioradialis tendon flap","volume":"16","author":"McMahon","year":"1991","journal-title":"J Hand Surg Am"},{"key":"2025042712174548000_2017.jul29_1.bcr-2017-220517.14","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1302\/0301-620X.82B3.0820424","article-title":"A retinacular sling for subluxing tendons of the first extensor compartment. 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