Mustafa KARAKAPLAN, Kadir ERTEM, Ali CANBAY, Okan ASLANTÜRK, Saim YOLOĞLU

One portal endoscopic release of the ﬁrst extensor compartment in de Quervain's disease

Objectives: We aimed to present preliminary result of one portal endoscopic assisted release of ﬁrst dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method. Materials and methods: The patients, who underwent an endoscopic-assisted release of the ﬁrst extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectivelyanalyzed. Operative treatment was considered if the patients did notrespond tonon-operative treatment including oral anti-inﬂammatory medications, splinting, and steroid injection. Surgical release was recommended after minimum four months of unsuccesful non-operative treatment, including a steroid injection. 10 wrists were treated with one portal endoscopic assisted release. All patients were evaluated at an average of 16.1 months follow-up using visual analog scale (VAS) pain ratings and the Disabilities of Arm, Shoulder and Hand (DASH) score. Results: The mean operating timewas 13.9 min (range,10e21min). The mean VAS and DASH scores were improved from 8.2 to 1.9 and 70.51 to 2.81 respectively. No signiﬁcant difference was found between operated and non-operated arms in postoperative pinch and strengths. Transient superﬁcial radial nerve paresthesia (two wrists) and signiﬁcant scar tenderness (one) were identiﬁed in three cases. There was no patient that complain of unsightly scar and tendon subluxation. Conclusions: One portal endoscopic assisted release of the extensor compartment is an effective and safe minimal invasive procedure with similar complication rates reported previously in open and endoscopic procedures in patients with de Quervain's disease who are unresponsive to non-operative treatments.

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