?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Optimisation+of+Surgical+Results+in+de-Quervain%E2%80%99s+Disease&rft.creator=Kamath%2C+BJ&rft.creator=Vardhan%2C+H&rft.creator=+Jayasheelan%2C+N&rft.creator=Mahale%2C+A&rft.creator=Kumar%2C+A&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background%3A+De+Quervain%E2%80%99s+disease+poses+more+problems+with+respect+to+management+than+the+diagnosis.+Surgery+is+resorted+to+when+the+conservative+methods+fail.+There+are+known+complications+of+the+surgical+intervention.+Surgeon+contemplating+the+surgery+should+be+aware+of+these+and+make+every+attempt+to+optimize+the+results+and+avoid+the+above+mentioned+complication.+Methods%3A+Sixty+symptomatic+wrists+in+57+individuals+suffering+from+de+Quervain%E2%80%99s+disease+who+needed+surgery+were+studied+preoperatively+with+ultrasound.+Number+of+tendons+and+the+sub+septae+identified+in+the+ultrasound+examination+preoperatively+were+confirmed+on+the+table+during+the+surgery.+The+release+was+brought+about+under+local+anesthesia%2C+with+magnification+taking+care+to+avoid+injury+to+the+cephalic+vein+and+superficial+branch+of+radial+nerve%2C+not+to+violate+the+anterior+margin+of+the+sheath%2C+thus+preventing+complications.+A+negative+post+release+finkelstein+test+was+ensured+before+the+wound+closure.+Results%3A+All+60+patients+who+underwent+release+for+de+Quervain%E2%80%99s+disease+were+symptom+free%2C+satisfied+and+fully+functional.+Conclusions%3A+De-Quervain's+disease+not+relieved+by+conservative+methods+needs+surgical+release+under+local+anesthesia+with+a+transverse+incision+with+Preoperative+ultrasound+examination+for+the+number+of+tendons+and+subseptae.+Avoiding+the+violation+of+the+volar+aspect+of+the+sheath%2C+loupe+magnification%2C+tourniquet+and+post+release+Finkelstein%E2%80%99s+test+before+wound+closure%2C+will+ensure+optimal+results.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2014-02-20&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F9713%2F1%2F2013-4-6.pdf&rft.identifier=++Kamath%2C+BJ+and+Vardhan%2C+H+and++Jayasheelan%2C+N+and+Mahale%2C+A+and+Kumar%2C+A++(2014)+Optimisation+of+Surgical+Results+in+de-Quervain%E2%80%99s+Disease.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F9713%2F