{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:08:31Z","timestamp":1791832111633,"version":"4.3.4"},"reference-count":18,"publisher":"World Scientific Pub Co Pte Ltd","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>Background: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendons adhesions. The authors present an alternative procedure for the first extensor compartment pulley decompression: \u201cOmegaplasty\u201d.<\/jats:p><jats:p>Methods: 25 Patients with 29 DeQuervain tenosynovitis cases were enrolled in a prospective, nonrandomized clinical trial from 2012 to 2016. At enrollment they were offered the option of Omegaplasty as a surgical treatment modality for their cases. The procedure is based on liberating the anterior attachment of the pulley from the anterior lip of the stylo\u00efd process while respecting its continuity with the periosteal flap as well as promoting expansion of the tunnel volume. All operated patients were evaluated using the \u201cOpposition Kapandji Score\u201d.<\/jats:p><jats:p>Results: The authors present the results of 29 different \u201cOmegaplasty\u201d procedures. Based on the Kapandji opposition score, twenty cases scored 10\/10 while the remaining nine cases yielded an 8\/10 score each.<\/jats:p><jats:p>Conclusions: The described technique is simple, reliable and respects the extensor tendons gliding physiology and biodynamics. By preserving the anatomical continuity of the first extensor compartment pulley at the wrist, the risk of adhesion formation is reduced. The preliminary results are encouraging and provide the \u201c\u03a9\u201d plasty the potential to be considered as a surgical option for treatment of De Quervain Tenosynovitis.<\/jats:p>","DOI":"10.1142\/s2424835518500169","type":"journal-article","created":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T02:18:02Z","timestamp":1525745882000},"page":"170-175","source":"Crossref","is-referenced-by-count":10,"title":["Omega \u201c\u03a9\u201d Pulley Plasty for Surgical Management of DeQuervain\u2019s Disease"],"prefix":"10.1142","volume":"23","author":[{"given":"Joseph","family":"Bakhach","sequence":"first","affiliation":[{"name":"Division of Plastic &amp; Reconstructive Surgery, American University of Beirut Medical Center, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bachar","family":"Chaya","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, American University of Beirut, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazareth","family":"Papazian","sequence":"additional","affiliation":[{"name":"Division of Plastic &amp; Reconstructive Surgery, American University of Beirut Medical Center, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"219","published-online":{"date-parts":[[2018,5,7]]},"reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.01.004"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800510515"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80017-9"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(05)80436-3"},{"key":"p_6","first-page":"101","volume":"78","author":"Le Viet D","year":"1992","journal-title":"Rev Chir Orthop Reparatrice Appar Mot."},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(86)80053-9"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(09)91110-8"},{"key":"p_9","first-page":"637","volume":"66","author":"Chodoroff G","year":"1985","journal-title":"Arch Phys Med Rehabil."},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2001.09861.x"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.35309"},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80166-1"},{"key":"p_13","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/j.1742-1241.2000.tb11853.x","volume":"54","author":"Mellor SJ","year":"2000","journal-title":"Int J Clin Pract."},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1952.01260020744013"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195840050-00008"},{"key":"p_16","first-page":"234","volume":"113","author":"Strandell G","year":"1957","journal-title":"Acta Chir Scand."},{"key":"p_17","first-page":"740","volume":"67","author":"Wetterkamp D","year":"1996","journal-title":"Chirurg."},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(79)80140-9"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80007-3"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835518500169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T13:43:15Z","timestamp":1693662195000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835518500169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,7]]},"references-count":18,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2018,5,7]]},"published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1142\/S2424835518500169"],"URL":"https:\/\/doi.org\/10.1142\/s2424835518500169","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,7]]}}}