Intra operative Anatomical variations of the first extensor compartment of the wrist in patients of de Quervain’s disease
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2020, Vol 32, Issue 03
Abstract
Objective: To determine the frequency of intra operative anatomical variations in patients undergoing surgical release for de Quervain’s disease. Methods: We conducted this descriptive study in Department of Orthopaedics and spine surgery Khyber Girls Medical College/Hayatabad Medical Complex Peshawar from 21st January 2017 to 24th December 2019.All patients of de Quervain’s disease fulfilling the inclusion criteria were surgically released under local anaesthesia. The frequency of intra operative anatomical variations of Abductor Pollicis Longus(APL) and Extensor Pollicis Brevis(EPB) were noted and classified according to the Hiranuma classification. Results: We enrolled 80 patients (86 wrists) in our study. The mean age was 41years(range 25 to 75 years).Female patients were 71(88.7%) and male patients were only 9(11.2%).Majority(88.7%,n=71) of patients had right sided de Quervain’s disease while left sided was involved in 3(3.7%) patients and 6(7.5%) patients had bilateral de Quervain’s disease. Hiranuma Type II was the predominant anatomical variation noted in 53(61.6%) wrists followed by type I(26.7%,n=23).Majority(91.8%,n=79) of wrists had 1 APL tendon followed by 2 APL tendons in 4(4.6%) and 3 tendons in 3(3.4%) wrists. The number of EPB was 1 in 82(95.3%) wrists,2 in 1(1.1%) and absent EPB in 03(3.4%) wrists. Conclusion: Majority of our patients had APL and EPB in separate compartments with complete septation and had single APL and EPB tendon in each compartment. On the contrary the traditional or classical presentation of APL and EPB lying side by side in a single compartment was noted in less number of patients.
Authors and Affiliations
Israr Ahmad1, Khadim Hussain2, Zeeshan Khan3, Salik Kashif4, Mohammad Saeed5, Muhammad Arif Khan6
Keywords
Related Articles
- EP ID EP741546
- DOI -
- Views 16
- Downloads 0
Acetabular Component Orientation in Total Hip Arthroplasty Using Transverse Acetabular Ligament (TAL)
Objective: To assess the effectiveness of transverse acetabular ligament (TAL) as a guide for acetabular cup ante version during total hip arthroplasty and its effect on postoperative hip dislocation. Methods: This descr...
Unlocking the secrets of reverse shoulder arthroplasty: A radiological appraisal
Reviewing the literature on radiological evaluation of reverse shoulder arthroplasty (RSA), this paper looks at recent findings. Plain radiographs and computed tomography (CT) scans are among the imaging modalities discu...
Physician’s Burnout: Is It A Serious Problem?
“I feel mentally and physically exhausted”, “I wish I could get rid of my patients”, “I don’t feel empathy toward my patients any more”, “whats the use of all this hard work that I am doing”. Has any of these thoughts oc...
Outcome of AO Screw Fixation for Intra-Capsular Neck of Femur Fracture
Objective: To assess the outcome of AO screw fixation for intra-capsular neck of femur fracture. Method: This Quasi experimental study was performed at the Orthopaedic and Trauma Unit, Khyber Teaching Hospital Peshawa...
Traditional Versus Additive Analgesia in Post-Operative Pain Control in Surgery around the Knee- A Randomized Controlled Trial.
Objective: To compare the efficacy of Diclofenac sodium and Pregablin in reducing post operative pain in patients with surgeries around the knee. Methods: This randomized controlled trial was conducted in Department o...