Clinical Sign for Missed Decompression of a Separate Extensor Pollicis Brevis Compartment in de Quervain's Disease.

Clinical Sign for Missed Decompression of a Separate Extensor Pollicis Brevis Compartment in de Quervain's Disease.
Handchir Mikrochir Plast Chir. 2017 Aug;49(3):185-187
Authors: Benatar N
Abstract
Persistent pain despite previous surgery for de Quervain's disease might be due to an overlooked septum between the abductor pollicis longus tendon slips and the extensor pollicis brevis tendon, or an overlooked completely separate compartment for the extensor pollicis brevis tendon alone. In both of these instances, extension of the MP joint of the thumb against resistance elicits pain at the distal level of the first extensor compartment of the wrist. When this sign is positive, revisional surgery and decompression of the remaining septum or separate compartment is indicated.
PMID: 28806831 [PubMed - in process]

Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - August 18, 2017 Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research