Percutaneous Release of the First Dorsal Extensor Compartment: A Cadaver Study

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dc.contributor.authorGulec, Ali
dc.contributor.authorTurkmen, Faik
dc.contributor.authorToker, Serdar
dc.contributor.authorAcar, Mehmet Ali
dc.date.accessioned2020-03-26T19:25:34Z
dc.date.available2020-03-26T19:25:34Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: To evaluate the efficiency of the percutaneous 18-G needle technique in releasing the fibro-osseous sheath over the first dorsal extensor compartment of the hand. Methods: Using anatomic landmarks, percutaneous release was performed with an 18-G needle on 48 wrists of 24 cadavers. The specimens were then dissected and examined for the completeness of the first dorsal extensor compartment release and any tendon or neurovascular injuries. The tunnel length, number of abductor pollicis longus and extensor pollicis brevis tendons, presence of an intertendinous septum, and the effects of these parameters on percutaneous release were evaluated. Results: Percutaneous release was performed on all of the wrists, and the evaluation of the adequacy of release revealed 25 complete releases, 21 partial releases, and 2 missed releases. There were 19 cases of tendon complications. No neurovascular injuries were noted. The mean tunnel length was 2.66 +/- 30 cm, and the mean number of tendons was 2.75 +/- 0.86. A septum was present in 33.3% of cases. Tunnel length and tendon number had no statistically significant effect on release, whereas the presence of a septum was significantly associated with inadequate tunnel release and the development of tendon complications. Conclusions: Percutaneous release of the first dorsal extensor compartment using an 18-G needle was associated with high rates of incomplete release and tendon damage in the presence of an intertendinous septum. Further study is required under ultrasound guidance to determine the usefulness of percutaneous release in the first dorsal extensor compartment. Clinical Relevance: Release with a percutaneous needle tip in De Quervain's syndrome may provide the advantages of better cosmetic results with less scar formation and an early return to work.en_US
dc.identifier.doi10.1097/GOX.0000000000001022en_US
dc.identifier.issn2169-7574en_US
dc.identifier.issue10en_US
dc.identifier.pmid27826460en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://dx.doi.org/10.1097/GOX.0000000000001022
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33870
dc.identifier.volume4en_US
dc.identifier.wosWOS:000388364000005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofPLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPENen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titlePercutaneous Release of the First Dorsal Extensor Compartment: A Cadaver Studyen_US
dc.typeArticleen_US

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