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Learn the De Quervains release (first extensor compartment decompression at the wrist) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the De Quervains release (first extensor compartment decompression at the wrist) surgical procedure.

De Quervains disease is a tenosynovitis of the 1st dorsal compartment of the wrist. This is an osteofacial compartment, which contains the tendons of EPB (Extensor Pollicis Brevis) and APL (Abductor Pollicis Longus). Differential diagnosis should exclude Thumb CMCJ osteoarthritis, scaphoid fracture, radioscaphoid arthritis and intersection syndrome.

This is a step-by-step guide to surgically release and decompress the 1st dorsal compartment in De Quervain’s tenosynovitis.

Author: Manish Gupta, Consultant Hand Surgeon

Institution: The Birmingham Hand Centre, Queen Elizabeth Hospital, UK

Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.

In the USA contact: fda.gov
In the UK contact: gov.uk
In the EU contact: ema.europa.eu