Skip to content

Patients › Rehabilitation

Pagkalabas ng de Quervain

PDF Evidence

Isang maagang plano ng paggaling na may paggalaw pagkatapos ng pagsingil ng unang dorsal na kompartimento para sa tenosynovitis ni de Quervain, na may maikling suporta para sa kaginhawaan, banayad na paggalaw ng hinlalaki at pulso mula sa simula upang maiwasan ang pagkakasiksik, pag-aalaga sa peklat, at unang-unang pagbabalik sa lakas ng hawak at pagpipit sa loob ng apat hanggang anim na linggo.

Illustrasyon ng gilid ng pulgar ng pulso na nagpapakita ng unang dorsal compartment tunnel sa itaas ng dalawang tendon ng pulgar (abductor pollicis longus at extensor pollicis brevis), na binubuksan sa panahon ng de Quervain's release.
Ang pag-release ng de Quervain ay binubuksan ang masisikip na tunnel (ang unang dorsal compartment) sa itaas ng dalawang tendon sa pulgar na bahagi ng pulso, na nagbibigay sa kanila ng espasyo para gumalaw nang malaya. Kieran Hirpara 4.0

Ang pahinang ito ay isinalin ng makina at hindi pa nasusuri ng isang doktor. Ang bersyong Ingles ang siyang opisyal.

Ang protokol na ito ay gabay sa iyong paggaling pagkatapos ng de Quervain’s release, isang maliit na operasyon na binubuksan ang masikip na tunnel sa ibabaw ng mga tendon sa gilid ng hinlalaki ng iyong pulso, kasama si Dr Kieran Hirpara sa Mater Private Hospital Rockhampton. Nagsisimula ito sa iyong home exercise program, sinundan ng istrukturadong klinikal na protokol na isinulat para sa iyong hand therapist; dalhin ang pahinang ito o ang PDF nito sa iyong unang bisita sa therapy upang manatiling koordinado ang iyong rehabilitasyon. Maaaring baguhin ng iyong hand therapist ang plano depende sa pag-unlad ng iyong paggaling.

Kung mayroon kang anumang alalahanin tungkol sa iyong sugat pagkatapos ng operasyon, makipag-ugnayan sa mga kwarto. Karaniwang makakatulong na kumuha ng litrato ng sugat at ipadala ito sa pamamagitan ng email para sa pagsusuri.

Ano ang inaasahan

Ang tenosynovitis ni De Quervain ay pag-irita ng dalawang tendon na tumutukoy sa iyong hinlalaki (ang abductor pollicis longus at extensor pollicis brevis) kung saan sila dadaan sa isang masisikip na tunnel (ang unang dorsal compartment) sa gilid ng pulso na may kinalaman sa hinlalaki. Ang release ay isang maliit na operasyon na nagbubukas sa tunnel na iyon upang magkaroon ng sapat na espasyo ang mga tendon para gumalaw nang malaya, na nagpapahina ng sakit at pagkakadikit.

Dahil walang tinahi o pinapigil (ang tunnel ay simpleng binubuksan at dinisenyo upang manatiling bukas), ito ay isang maagang paggalaw na paggaling, hindi isang mahabang proseso ng proteksyon. Walang istruktura na nangangailangan ng buwan-buwan na paggaling. Ang buong layunin ng rehabilitasyon ay panatilihin ang paggalaw ng mga tendon sa pamamagitan ng nagpapagaling na bahagi ng operasyon upang hindi sila dumikit, habang ang maliit na sugat at mga nerbiyong pangbalat sa ibabaw nito ay nagpapahina.

Kaya ang plano ay simple: isang malambot na panapos (minsan ay isang magaan na splint para sa hinlalaki para sa kumportableng pakiramdam lamang) sa unang ilang araw hanggang sa isang o dalawang linggo, maagang pagpapatupad ng banayad na paggalaw ng hinlalaki at pulso, pag-aalaga sa peklat kapag ang sugat ay gumaling na, at unang-unang pagtaas ng lakas ng hawak at pagpipit. Karamihan sa mga tao ay bumabalik sa komportableng normal na gawain sa loob ng apat hanggang anim na linggo.

Dalawang bagay ang pinagmamasdan pagkatapos ng partikular na operasyong ito. Ang una ay isang maliit na nerbiyong pangbalat, ang radial sensory nerve, na ang mga sanga nito ay tumatawid sa harap ng lugar ng operasyon; maaari itong manatiling may pamamanhid o masakit sa loob ng ilang panahon, at ang maagang trabaho para sa pagpapahina ng nerbiyo ay nakatuon dito. Ang pangalawa ay ang posisyon ng mga tendon: ang sobrang pagbubukas ng tunnel patungo sa palad ay maaaring magdulot ng pagdulas ng isang tendon pasulong (subluxation) kapag gumagalaw ang hinlalaki. Parehong bihira ang mga ito, at ang iyong hand therapist ay magbabantay para sa mga ito.

Mga Precautions at Limitasyon

  • Panatilihin ang paggalaw ng hinlalaki at pulso mula sa simula: ang banayad na paggalaw ang gamot dito, hindi ang pahinga. Ang katigasan dahil sa sobrang kakulangan ng paggalaw ang pangunahing bagay na sinusubukang iwasan.
  • Gumamit ng anumang comfort splint lamang ayon sa utos at para lamang sa unang ilang araw hanggang isang o dalawang linggo: ito ay para sa kaginhawaan, hindi para sa proteksyon, at dapat tanggalin para sa iyong mga ehersisyo.
  • Panatilihin ang sugat na malinis at tuyo hanggang sa ito ay gumaling; huwag magsimula ng scar massage hanggang sa matanggal ang mga bandage at sarado na ang balat.
  • Iwasan ang mabibigat na pagkapit, pwersadong pagpipit, pag-angat at pag-ikot (pagpiga ng damit, pagbukas ng mahigpit na mga bote, mabibigat na mga kasangkapan) hanggang sa humigit-kumulang tatlo hanggang apat na linggo, pagkatapos ay dahan-dahang bumalik sa normal.
  • Ipabatid sa iyong therapist o sa aming opisina kung maramdaman mo ang pamamanhid, pagkawala ng pakiramdam o matulis na nararamdaman na pakiramdam sa likod ng hinlalaki at pulso, o kung ang tendon ay sumisiksik o dumudulas kapag gumagalaw ang hinlalaki.

Para sa pamamahala ng sugat, pamamaga at peklat, tingnan ang gabay ng aming klinika tungkol sa wound care.

Mga ehersisyo ninyo

Ito ang mga ehersisyo mula sa inyong handout. Simulan ang mga ito ayon sa gabay ni Dr. Hirpara at ng inyong hand therapist. Ang mga maagang ehersisyo (paggalaw ng hinlalaki, paggalaw ng pulso, at tendon glides) ay nagpapanatili ng paggalaw at pagdudulas upang hindi dumikit ang mga inilabas na tendon; nagsisimula ang mga ito sa loob ng unang mga araw, hangga't komportable. Ang scar massage ay nagsisimula kapag na-heal na ang sugat. Ang grip at pinch strengthening ay karagdagang bahagi sa huli, karaniwan mula sa tatlo hanggang apat na linggo. Ang nerve glide ay idinadagdag lamang kung ang balat sa ibabaw ng pulso ay may pakiramdam ng tingling o masakit. Itigil ang anumang bagay na nagdudulot ng matulis o tumatagos na sakit sa gilid ng pulso na may kinalaman sa hinlalaki.

Ang iyong klinikal na protokol

Ang natitirang bahagi ng pahinang ito ay ang yugto-yugto na klinikal na protokol para sa rehabilitasyon pagkatapos ng pag-release ng de Quervain (unang dorsal compartment). Ang seksyong ito ay dapat ibigay sa iyong hand therapist, at bawat yugto ay nagsisimula sa isang simpleng paliwanag sa wikang Ingles tungkol sa nangyayari. Ito ay isang pag-decompress, hindi pag-aayos: ang unang dorsal compartment ay hinati at dapat manatiling hiwalay, kaya walang konstruksyon na dapat protektahan. Dahil dito, ang programa ay isang maagang-paggalaw, glide-based na landas: panatilihin ang pag-glide ng mga tendon ng APL/EPB sa surgical bed upang maiwasan ang adhesion, kontrolin ang oedema, pamahalaan ang peklat at radial sensory nerve, at ibalik ang grip at pinch.

Bago ang paggamot, suriin ang operation report ng pasyente at makipag-ugnayan sa treating surgeon tungkol sa release (longitudinal/dorsal incision, kung may hiwalay na EPB sub-sheath/septum na natuklasan at na-release), ang dorsal positioning ng release upang maiwasan ang volar tendon subluxation, at anumang paghawak sa radial sensory nerve. Si Dr. Hirpara ay gumagawa ng open release sa pamamagitan ng dorsal/longitudinal approach, pinoprotektahan ang mga radial sensory nerve branches at pinapanatili ang release na dorsal upang maiwasan ang volar subluxation; ang immobilization ay para sa kaginhawaan lamang (soft dressing ± short thumb spica sa loob ng ilang araw hanggang ~1–2 linggo), at ang maagang paggalaw ng hinlalaki at pulso ang default.

Yugto I — maagang paggalaw, pamamaga, at pag-aalaga sa sugat (linggo 0 hanggang ~2)

Ang unang isang o dalawang linggo ay naglalayong protektahan ang sugat at bawasan ang pamamaga habang nagsisimula agad ang paggalaw. Walang protektadong arc na dapat sundin: ang layunin ay hayaan agad na dumulas nang tuwid ang mga inilabas na tendon. Ang anumang splint ay para lamang sa kaginhawaan at tinatanggal para sa mga ehersisyo.

Para sa iyong hand therapist:

Edukasyon at mga paalala - Ito ay isang decompression: walang construct na dapat protektahan; ang maagang aktibong paggalaw ang itinakdang default - Suporta para sa kaginhawaan lamang: malambot na dressing ± maikling thumb spica sa unang ilang araw hanggang ~1–2 linggo; tinatanggal para sa mga ehersisyo at paghuhugas - Panatilihing malinis at tuyo ang sugat hanggang sa ito ay gumaling; i-defer ang trabaho sa peklat hanggang sa magsara ang balat - Iwasan ang makapangyarihang hawak, pinch, pag-angat, at pag-ikot ng pulso sa panahong ito - Susuriin ang distribusyon ng radial sensory nerve (dorsoradial ng hinlalaki/pulso) para sa mga paraesthesiae, hypersensitivity, o Tinel's; susuriin ang APL/EPB subluxation sa resisted/active na pagpapahaba-pagpapalawak ng hinlalaki

Pamamahala - Sugat: mga surgical dressing ayon sa utos; monitor para sa impeksyon - Pamamaga: elevation, banayad na retrograde massage, ice kung kinakailangan - Mga ehersisyo: aktibong ROM ng hinlalaki (pagliko/pagpapahaba, palmar + radial abduction, opposition), aktibong ROM ng pulso, APL/EPB tendon glides, buong aktibong ROM ng mga daliri; magaan na functional paggamit ng kamay ayon sa kaginhawaan

Mga pamantayan para sa pag-progres - Gumaling/napapayapa ang sugat; kontrolado ang pamamaga; komportableng aktibong paggalaw ng hinlalaki at pulso

Yugto II — pagpapatibay ng galaw at pamamahala ng peklat (mga linggo ~2 hanggang 4)

Kapag gumaling na ang sugat, itatapon ang comfort splint at ang pokus ay lilipat sa buo at komportableng galaw kasama ang aktibong pag-aalis ng sensitibidad ng peklat at nerbiyos. Ang magaan na pagpapalakas ay magsisimula sa dulo ng panahong ito.

Para sa iyong hand therapist:

Mga Pagsusuri - Aktibo/pasibong ROM ng hinlalaki at pulso; kalidad ng peklat; mga sintomas ng radial sensory nerve; screen para sa subluxation

Edukasyon at mga paalala - Itigil ang anumang comfort splint; hikayatin ang normal na magaan na paggamit ng kamay - Patuloy na iwasan ang mabigat/pwersadong hawak at pinch hanggang ~3–4 linggo

Pamamahala - Peklat: masahe at silicone/moisturizer kapag gumaling na; desensitization kung hypersensitive - Nerbiyos: radial sensory nerve glides/desensitization kung irritable; ayusin bago mag-load - Mga ehersisyo: i-progreso patungo sa buong ROM ng hinlalaki at pulso; patuloy na tendon glides; magsimula ng magaan na grip/pinch (putty, malambot na bola) mula ~3–4 linggo

Mga pamantayan para i-progreso - Buong, walang sakit na ROM ng hinlalaki at pulso; gumaling, mobile na peklat; umuunlad na mga sintomas ng nerbiyos

Yugto III — pagpapalakas at pagbabalik sa aktibidad (mga linggo ~4 hanggang 6 at higit pa)

Kapag naibalik ang galaw at naging matanda na ang sugat, ipinapalakas ang hawak at higpit, at ibinabalik ang pasyente sa kumpletong aktibidad. Karamihan ay nakakakaroon ng komportableng normal na paggamit sa loob ng humigit-kumulang apat hanggang anim na linggo; ang mas mabigat na mga pangangailangan sa manual na trabaho ay nangangailangan ng kaunting karagdagang oras at batay sa mga kriteryo.

Para sa iyong hand therapist:

Mga Pagsusuri - Lakas ng hawak at higpit kumpara sa kabilang bahagi; sakit kapag may pagdadagdag ng bigat; pagsusuri sa functional/trabaho-spesipiko kung kinakailangan

Edukasyon at mga paalala - Unahin ang pagbabalik sa paghawak, paghigpit, pagbuhat, at pag-ikot; kumpletong aktibidad ayon sa komportableng antas at lakas - Patuloy na dorsoradial na sakit/pangangati o isang tumutunog na tendon → ibalik sa treating surgeon (isipin ang neuroma, hindi kumpletong release, o volar subluxation)

Pamamahala - Mga ehersisyo: progressive na pagpapalakas ng hawak at higpit; pagdadagdag ng bigat na angkop sa gawain at trabaho; patuloy na anumang natitirang trabaho para sa scar/nerve - Isipin ang discharge kapag ang lakas ay halos symmetrical at naibalik na ang function - Isipin ang referral pabalik sa treating doctor kung ang recovery ay huminto o may mababang resulta

Mga Kriteryo para sa discharge / pagbabalik sa kumpletong aktibidad - Halos symmetrical na hawak at higpit; walang sakit na functional at trabaho-spesipikong paggamit

Pagbabalik sa trabaho at gawain

Ang magaan na pang-araw-araw na paggamit ng kamay (pagkain, pagsulat, paghahanda ng damit, mga magaan na gawain) ay inirerekomenda mula sa simula, hangga't komportable. Dahil ang operasyon ay nasa pulso at kailangang gumalaw nang malaya at humawak nang ligtas ang kamay, maaari nang magmaneho kapag komportable na ang sugat, tinanggal na ang splint na nagbibigay ng ginhawa, at kayang humawak at ikutin ang manibela nang kumpiyansa; para sa karamihan sa mga tao, ito ay nangyayari sa loob ng unang isang o dalawang linggo, ayon sa pagpapatunay sa inyong review.

Ang makapangyarihang paghawak, pagpipit, pag-angat, at pag-ikot ay hinihintay hanggang sa humigit-kumulang tatlo hanggang apat na linggo, at dahan-dahang pinapalakas. Ang mga trabaho sa desk at magaan na gawain ay madalas na muling magsisimula sa loob ng ilang araw hanggang isang o dalawang linggo; ang mas mabigat na manual na trabaho na nakadepende sa matibay at paulit-ulit na paggamit ng hinirig at pulso ay karaniwang muling magsisimula sa humigit-kumulang apat hanggang anim na linggo, na sinusuri ng Dr. Hirpara at ng inyong hand therapist batay sa muling nakuha niyong lakas at kaginhawaan, hindi lamayon sa kalendaryo.

Pagkatapos ng iyong protocol

Ang protocol na ito ay nagtatrabaho kasama ng pangkalahatang payo para sa paggaling ng klinika: tingnan ang pamamahala ng post-operative na sakit, pag-aalaga sa sugat at pamamahala ng peklat. Ang naka-phase na plano sa itaas ay sumasalamin sa publikadong gabay sa rehabilitasyon pagkatapos ng paglabas ng de Quervain's, at ang iyong patuloy na paggaling ay indibidwal na pinamumunuan ni Dr. Hirpara at ng iyong hand therapist ayon sa pag-unlad ng iyong kamay.

Reviewed by Dr Kieran Hirpara · 21 June 2026.

Want the clinical detail? Read the clinician version.

Talk to your treating clinician for advice specific to you.

For an appointment with the CQ Hand + Upper Limb team, ask your GP about a referral or visit www.cqupperlimb.com.

Evidence & references

de Quervain's Release — Procedure Outcomes & Post-operative Rehabilitation (First Dorsal Compartment Release)

Topic scope: post-operative rehabilitation after surgical release of the first dorsal compartment of the wrist (abductor pollicis longus, APL, and extensor pollicis brevis, EPB) for refractory de Quervain's tenosynovitis. This is a decompression, not a reconstruction: the fibro-osseous tunnel is opened and is meant to stay open, so the rehabilitation is an early-motion pathway built around tendon gliding, oedema and scar control, and protection of the overlying radial sensory nerve — rather than months of protected healing.

Defining principle of the rehab here: de Quervain's release relieves a tendon entrapment and does not create a construct that needs protection. The divided extensor retinaculum is meant to stay divided. So (unlike a tendon or ligament repair) immediate, gentle active thumb and wrist motion is the default, and the only deliberate restraints are brief comfort support and a short window of heavy-grip/pinch/twist avoidance while the wound heals. The therapy programme exists to keep the APL/EPB tendons gliding through the healing surgical bed so they do not adhere, to settle the radial sensory nerve branches that cross the incision, and to rebuild grip and pinch — not to immobilise. The single branch points are (1) whether a separate EPB sub-sheath/septum was present and released (its retention is a classic cause of failed release) and (2) keeping the release dorsal so the tendons do not subluxate volarly.

A. PROCEDURE OUTCOMES (open release; endoscopic and retinaculum-sparing variants)

Surgical release of the first dorsal compartment is a reliable operation for de Quervain's that has failed non-operative care: the great majority of patients obtain durable symptom relief, and the principal debates are over technique details (incision orientation, completeness of EPB sub-sheath release, whether to preserve/lengthen the retinaculum) rather than whether to decompress.

  • Open release gives durable, high-quality long-term outcomes. A series of 80 cases with a mean 9.5-year follow-up reported sustained relief with a low complication profile, establishing the long-term reliability of open release [Garçon et al., Orthop Traumatol Surg Res 2018]. Moderate (long-term cohort).
  • Functional recovery is good and objectively measurable. A series using DASH scores to evaluate first-extensor-compartment release for refractory disease documented good functional outcomes, and emphasised identifying and releasing a separate EPB sub-compartment (septum) when present [Lee et al., Clin Orthop Surg 2014]. DASH is a validated, widely used outcome instrument across hand and wrist conditions [Baltzer, Novak & McCabe, J Hand Surg Am 2014 — scoping review]. Moderate (cohort) + instrument SR.
  • Endoscopic and open release are broadly comparable. A comparative study of endoscopic versus open release found favourable results for the endoscopic approach with attention to the radial sensory nerve, while open release remains the standard reference technique [Kang et al., Bone Joint J 2013]. Moderate (comparative).
  • The retinaculum can be partly resected, simply divided, or reconstructed. Partial resection of the extensor retinaculum gives good short-term results [Altay et al., Orthop Traumatol Surg Res 2011]; simple release and Z-plasty (retinaculum-lengthening) reconstruction give comparable outcomes, with Z-plasty proposed to reduce subluxation risk at the cost of complexity [Kim, Baek & Lee, J Hand Surg Eur 2019]. A longitudinal-incision technique series likewise reports good functional outcomes [Mangukiya et al., Musculoskelet Surg 2019]. Moderate (comparative/cohort).
  • Dissatisfaction does occur and is worth counselling for. A focused study of dissatisfaction after first dorsal compartment release found that a minority of patients remain dissatisfied, often linked to residual pain, nerve symptoms or incomplete relief — a reminder that outcomes are good but not universal [Rogozinski & Lourie, J Hand Surg Am 2016]. Moderate (cohort).

B. REHABILITATION / THERAPY EVIDENCE

The central rehab questions are (1) whether to immobilise the thumb/wrist afterwards and for how long, and (2) whether formal hand therapy changes the outcome. The published base specific to post-de-Quervain-release rehabilitation is thin and consensus-driven: there are no high-quality trials comparing immobilisation regimens or therapy protocols. Practice converges on brief comfort support and early motion, with hand therapy used selectively.

  • Early motion is the rationalised default; prolonged immobilisation is not supported. Because the release is a decompression with no construct to protect, early active thumb and wrist motion is used to keep the APL/EPB tendons gliding and prevent adhesion. Immobilisation, where used, is a soft dressing or short thumb spica for comfort only for days to ~1–2 weeks. The supporting evidence is mechanistic/consensus, mirroring the well-established early-motion rationale after other upper-limb decompressions. Weak–moderate (mechanism strong, outcome data sparse).
  • De Quervain's is not always an isolated problem — therapy assessment matters. A hand-therapy review highlights that de Quervain's syndrome may coexist with other dorsoradial/wrist pathology, so post-operative therapy should reassess rather than assume a single diagnosis — relevant when symptoms persist after release [Redvers-Chubb, Hand Therapy 2015]. Consensus (narrative/therapy review).
  • Hand therapy focus is glide, scar and nerve, then strength. The programme priorities are tendon gliding (adhesion prevention), oedema control, scar management and radial sensory nerve desensitisation, and graded grip/pinch strengthening. The benefit of formal supervised therapy over a home programme is not established by trial data; selective therapy is defensible. Weak / consensus.

Recovery trajectory (expected, evidence-anchored)

Phase Window Restraint Hand use / therapy focus Strength / load Notes
I — Early motion, oedema & wound care Week 0–~2 Comfort support only (soft dressing ± short thumb spica) Immediate active thumb + wrist motion; APL/EPB tendon glides; elevation/oedema control; screen radial sensory nerve + subluxation Light functional use only No construct to protect; motion is the treatment. Keep wound clean/dry
II — Restore motion & scar/nerve care Week ~2–4 Splint discarded once healed Full thumb + wrist ROM; scar massage once wound healed; radial sensory nerve glides/desensitisation if irritable Begin light grip/pinch (putty, ball) from ~3–4 wk Avoid forceful grip/pinch/twist until ~3–4 wk
III — Strengthening & return Week ~4–6+ Restrictions lifted, graded Progressive grip/pinch and task-specific loading Return to near-symmetrical grip/pinch; full activity as strength allows Light/desk work days–1–2 wk; manual work ~4–6 wk, criterion-based

(Phase windows are typical clinical guides, not trial-derived deadlines. Driving resumes once the wound is comfortable, any comfort splint is off, and the patient can grip and steer confidently — commonly within 1–2 weeks.)

C. KEY CONTROVERSIES / EVIDENCE QUALITY

  1. The EPB sub-sheath (septum) must be sought and released. A separate EPB sub-compartment is common and, if missed, is a classic cause of persistent symptoms / failed release. Series that emphasise identifying and releasing it report good outcomes [Lee 2014]. Moderate — strong mechanistic consensus.
  2. Volar tendon subluxation if released too volar. Dividing the retinaculum too far towards the palmar side can let the APL/EPB tendons subluxate volarly with thumb motion. Keeping the release dorsal, and retinaculum-lengthening (Z-plasty) reconstructions, are described specifically to mitigate this [Kim 2019; Altay 2011]. Moderate (technique-comparative).
  3. Radial sensory nerve injury is the signature complication. The superficial radial nerve branches cross the operative field; injury or scar entrapment produces dorsoradial numbness, hypersensitivity or painful neuroma and is a leading driver of dissatisfaction [Ilyas et al., J Am Acad Orthop Surg 2007; Rogozinski 2016]. Careful exposure with nerve protection is emphasised across open and endoscopic techniques [Kang 2013]. Moderate.
  4. Immobilise or move early? No trial settles the optimal post-operative regimen; consensus favours brief comfort support and early motion (decompression logic) over prolonged splinting. Weak — consensus, not trial-derived.
  5. Outcomes are good but not universal. A measurable minority remain dissatisfied, usually from residual pain, nerve symptoms or incomplete release — worth explicit pre-operative counselling [Rogozinski 2016]. Moderate.

D. EVIDENCE STRENGTH FLAGS (summary)

  • MODERATE (cohort / comparative): durable long-term relief from open release (9.5-yr cohort); good DASH-measured functional outcomes; comparability of endoscopic vs open and of simple release vs Z-plasty / partial retinaculum resection; radial sensory nerve injury as the signature complication; a real, defined dissatisfaction rate.
  • WEAK / CONSENSUS: the early-motion, glide-based rehabilitation programme itself (mechanistically rationalised; no trial comparing immobilisation regimens or therapy protocols after de Quervain's release); the role of formal supervised therapy vs a home programme; exact phase timings and return-to-activity windows (typical guides, not trial-derived). Outcomes and the two signature complications (radial sensory nerve injury; volar subluxation) are better studied than the rehabilitation protocol.

CITATIONS

RAG corpus (180,000+ Orthopaedic articles)

  • Garçon JJ, Charruau B, Marteau E, et al. Results of surgical treatment of De Quervain's tenosynovitis: 80 cases with a mean follow-up of 9.5 years. Orthop Traumatol Surg Res. 2018. DOI: 10.1016/j.otsr.2018.04.022 (PMID 29909297)
  • Lee HJ, Kim PT, Aminata IW, et al. Surgical Release of the First Extensor Compartment for Refractory de Quervain's Tenosynovitis: Surgical Findings and Functional Evaluation Using DASH Scores. Clin Orthop Surg. 2014. DOI: 10.4055/cios.2014.6.4.405
  • Ilyas AM, Ast M, Schaffer AA, et al. de Quervain Tenosynovitis of the Wrist. J Am Acad Orthop Surg. 2007. DOI: 10.5435/00124635-200712000-00009 (PMID 18063716)
  • Kang HJ, Koh IH, Jang JW, et al. Endoscopic versus open release in patients with de Quervain's tenosynovitis. Bone Joint J. 2013. DOI: 10.1302/0301-620X.95B7.31486 (PMID 23814248)
  • Altay M, Ertürk C, Işıkan UE. De Quervain's disease treatment using partial resection of the extensor retinaculum: A short-term results survey. Orthop Traumatol Surg Res. 2011. DOI: 10.1016/j.otsr.2011.03.015
  • Kim J, Baek J, Lee J. Comparison between simple release and Z-plasty of retinaculum for de Quervain's disease: a retrospective study. J Hand Surg Eur Vol. 2019. DOI: 10.1177/1753193418818341 (PMID 30669923)
  • Mangukiya HJ, Kale A, Mahajan NP, et al. Functional outcome of De Quervain's tenosynovitis with longitudinal incision in surgically treated patients. Musculoskelet Surg. 2019. DOI: 10.1007/s12306-018-0585-1
  • Rogozinski B, Lourie GM. Dissatisfaction After First Dorsal Compartment Release for de Quervain Tendinopathy. J Hand Surg Am. 2016;41(1). DOI: 10.1016/j.jhsa.2015.09.020 (PMID 26481556)
  • Baltzer H, Novak CB, McCabe SJ. A Scoping Review of Disabilities of the Arm, Shoulder, and Hand Scores for Hand and Wrist Conditions. J Hand Surg Am. 2014. DOI: 10.1016/j.jhsa.2014.07.050 (PMID 25227601)
  • Redvers-Chubb K. De Quervain's syndrome: It may not be an isolated pathology. Hand Therapy. 2015. DOI: 10.1177/1758998315599796

de Quervain's release literature (URLs)

  • Lee HJ, et al. Surgical Release of the First Extensor Compartment for Refractory de Quervain's Tenosynovitis (DASH outcomes; EPB septum). Clin Orthop Surg 2014 (open access). https://doi.org/10.4055/cios.2014.6.4.405
  • Garçon JJ, et al. Results of surgical treatment of De Quervain's tenosynovitis: 80 cases, mean 9.5-year follow-up. Orthop Traumatol Surg Res 2018. https://doi.org/10.1016/j.otsr.2018.04.022
  • Ilyas AM, et al. de Quervain Tenosynovitis of the Wrist (review — radial sensory nerve, surgical technique, complications). J Am Acad Orthop Surg 2007. https://doi.org/10.5435/00124635-200712000-00009
  • Rogozinski B, Lourie GM. Dissatisfaction After First Dorsal Compartment Release for de Quervain Tendinopathy. J Hand Surg Am 2016. https://doi.org/10.1016/j.jhsa.2015.09.020

Creative Commons BY-NC 4.0

CC Creative Commons licence
BY Attribution — you must credit the source
NC NonCommercial — not for commercial use

Attribution-NonCommercial 4.0 International

Creative Commons Corporation ("Creative Commons") is not a law firm and does not provide legal services or legal advice. Distribution of Creative Commons public licenses does not create a lawyer-client or other relationship. Creative Commons makes its licenses and related information available on an "as-is" basis. Creative Commons gives no warranties regarding its licenses, any material licensed under their terms and conditions, or any related information. Creative Commons disclaims all liability for damages resulting from their use to the fullest extent possible.

Using Creative Commons Public Licenses

Creative Commons public licenses provide a standard set of terms and conditions that creators and other rights holders may use to share original works of authorship and other material subject to copyright and certain other rights specified in the public license below. The following considerations are for informational purposes only, are not exhaustive, and do not form part of our licenses.

Considerations for licensors: Our public licenses are intended for use by those authorized to give the public permission to use material in ways otherwise restricted by copyright and certain other rights. Our licenses are irrevocable. Licensors should read and understand the terms and conditions of the license they choose before applying it. Licensors should also secure all rights necessary before applying our licenses so that the public can reuse the material as expected. Licensors should clearly mark any material not subject to the license. This includes other CC- licensed material, or material used under an exception or limitation to copyright. More considerations for licensors: wiki.creativecommons.org/Considerations_for_licensors

Considerations for the public: By using one of our public licenses, a licensor grants the public permission to use the licensed material under specified terms and conditions. If the licensor's permission is not necessary for any reason--for example, because of any applicable exception or limitation to copyright--then that use is not regulated by the license. Our licenses grant only permissions under copyright and certain other rights that a licensor has authority to grant. Use of the licensed material may still be restricted for other reasons, including because others have copyright or other rights in the material. A licensor may make special requests, such as asking that all changes be marked or described. Although not required by our licenses, you are encouraged to respect those requests where reasonable. More considerations for the public: wiki.creativecommons.org/Considerations_for_licensees

Creative Commons Attribution-NonCommercial 4.0 International Public License

By exercising the Licensed Rights (defined below), You accept and agree to be bound by the terms and conditions of this Creative Commons Attribution-NonCommercial 4.0 International Public License ("Public License"). To the extent this Public License may be interpreted as a contract, You are granted the Licensed Rights in consideration of Your acceptance of these terms and conditions, and the Licensor grants You such rights in consideration of benefits the Licensor receives from making the Licensed Material available under these terms and conditions.

Section 1 -- Definitions.

a. Adapted Material means material subject to Copyright and Similar Rights that is derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor. For purposes of this Public License, where the Licensed Material is a musical work, performance, or sound recording, Adapted Material is always produced where the Licensed Material is synched in timed relation with a moving image.

b. Adapter's License means the license You apply to Your Copyright and Similar Rights in Your contributions to Adapted Material in accordance with the terms and conditions of this Public License.

c. Copyright and Similar Rights means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized. For purposes of this Public License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights.

d. Effective Technological Measures means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.

e. Exceptions and Limitations means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.

f. Licensed Material means the artistic or literary work, database, or other material to which the Licensor applied this Public License.

g. Licensed Rights means the rights granted to You subject to the terms and conditions of this Public License, which are limited to all Copyright and Similar Rights that apply to Your use of the Licensed Material and that the Licensor has authority to license.

h. Licensor means the individual(s) or entity(ies) granting rights under this Public License.

i. NonCommercial means not primarily intended for or directed towards commercial advantage or monetary compensation. For purposes of this Public License, the exchange of the Licensed Material for other material subject to Copyright and Similar Rights by digital file-sharing or similar means is NonCommercial provided there is no payment of monetary compensation in connection with the exchange.

j. Share means to provide material to the public by any means or process that requires permission under the Licensed Rights, such as reproduction, public display, public performance, distribution, dissemination, communication, or importation, and to make material available to the public including in ways that members of the public may access the material from a place and at a time individually chosen by them.

k. Sui Generis Database Rights means rights other than copyright resulting from Directive 96/9/EC of the European Parliament and of the Council of 11 March 1996 on the legal protection of databases, as amended and/or succeeded, as well as other essentially equivalent rights anywhere in the world.

l. You means the individual or entity exercising the Licensed Rights under this Public License. Your has a corresponding meaning.

Section 2 -- Scope.

a. License grant.

1. Subject to the terms and conditions of this Public License, the Licensor hereby grants You a worldwide, royalty-free, non-sublicensable, non-exclusive, irrevocable license to exercise the Licensed Rights in the Licensed Material to:

a. reproduce and Share the Licensed Material, in whole or in part, for NonCommercial purposes only; and

b. produce, reproduce, and Share Adapted Material for NonCommercial purposes only.

2. Exceptions and Limitations. For the avoidance of doubt, where Exceptions and Limitations apply to Your use, this Public License does not apply, and You do not need to comply with its terms and conditions.

3. Term. The term of this Public License is specified in Section 6(a).

4. Media and formats; technical modifications allowed. The Licensor authorizes You to exercise the Licensed Rights in all media and formats whether now known or hereafter created, and to make technical modifications necessary to do so. The Licensor waives and/or agrees not to assert any right or authority to forbid You from making technical modifications necessary to exercise the Licensed Rights, including technical modifications necessary to circumvent Effective Technological Measures. For purposes of this Public License, simply making modifications authorized by this Section 2(a) (4) never produces Adapted Material.

5. Downstream recipients.

a. Offer from the Licensor -- Licensed Material. Every recipient of the Licensed Material automatically receives an offer from the Licensor to exercise the Licensed Rights under the terms and conditions of this Public License.

b. No downstream restrictions. You may not offer or impose any additional or different terms or conditions on, or apply any Effective Technological Measures to, the Licensed Material if doing so restricts exercise of the Licensed Rights by any recipient of the Licensed Material.

6. No endorsement. Nothing in this Public License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).

b. Other rights.

1. Moral rights, such as the right of integrity, are not licensed under this Public License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.

2. Patent and trademark rights are not licensed under this Public License.

3. To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties, including when the Licensed Material is used other than for NonCommercial purposes.

Section 3 -- License Conditions.

Your exercise of the Licensed Rights is expressly made subject to the following conditions.

a. Attribution.

1. If You Share the Licensed Material (including in modified form), You must:

a. retain the following if it is supplied by the Licensor with the Licensed Material:

i. identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);

ii. a copyright notice;

iii. a notice that refers to this Public License;

iv. a notice that refers to the disclaimer of warranties;

v. a URI or hyperlink to the Licensed Material to the extent reasonably practicable;

b. indicate if You modified the Licensed Material and retain an indication of any previous modifications; and

c. indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.

2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this Public License.

Section 4 -- Sui Generis Database Rights.

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:

a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only;

b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.

Section 5 -- Disclaimer of Warranties and Limitation of Liability.

a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

Section 6 -- Term and Termination.

a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.

b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

2. upon express reinstatement by the Licensor.

For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

Creative Commons may be contacted at creativecommons.org.