Clinical Results of longituidinal incision in De Quervain`s tenosynovitis treatment : Case Series

De Quervain`s tendinitis is defined as tenosynovitis of the firse dorsal extensor compartment tendon. Open surgical release is a good treatment option and multiple surgical incisions have been described. The author prefers longitudinal incision because it can reduce damage to the superficial radial nerve that may occur during surgery. The purpose of this study was to investigate the treatment results and complications of patients with De Quervain\'s tenosynovitis treated with longitudinal incision.

Among patients with De Quervain`s tenosynovitis treated from January 2022 to June 2024, who underwent operative treatment using the longitudinal incision and retrospectively analyzed. There were totally 10 patients with 4 males and 6 females between age group of 27 and 78 years. All patients were evaluated using DASH and VAS scores.

The mean DASH score was 0.23 and the mean VAS score was 0.1. Intraoperatively, we found abnormal septum in 8 patients. There was one case of hypertrophic scar after surgery, and no neurological complications occurred. No patient complained of recurrence of symptoms.

In the surgical treatment of De Quervain tenosynovitis, small longitudinal incision is a good treatment option and can reduce the occurrence of postoperative neurological complications. Some older literature stated that longitudinal incision can cause hypertrophic scar and cause persistent pain after surgery. However, although hypertrophic scar occurred, it did not cause pain. It is believed that hypertrophic scar can be sufficiently prevented through careful wound management during and after surgery.

Keywords: De Quervain, Longitudinal incision, Surgery.