Impact of the Relationship between Extensor Pollicis Brevis Entrapment Test and Ultrasound Wrist Findings and Functional Outcomes in De Quervain's Disease
Introduction: Diagnostic methods for first extensor compartment tenosynovitis are widely accepted, yet identifying variations in its anatomy and addressing compartmental challenges remains elusive. The extensor pollicis brevis (EPB) entrapment test has emerged as a valuable diagnostic tool. Integrat...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1148 |
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| Summary: | Introduction: Diagnostic methods for first extensor compartment tenosynovitis are widely accepted, yet identifying variations in its anatomy and addressing compartmental challenges remains elusive. The extensor pollicis brevis (EPB) entrapment test has emerged as a valuable diagnostic tool. Integrating clinical assessment with ultrasound examination improves diagnostic efficacy, highlighting the importance of evaluating functional outcomes.
Aim: To evaluate the connection between identified anatomical variations in patients with De Quervain's tenosynovitis and their functional outcomes and to ascertain how these variations are associated with the results of the EPB entrapment test and ultrasound wrist findings.
Materials and methods: A total of 60 participants showed positive Finkelstein test results for wrist pain, underwent EPB entrapment, and underwent ultrasound examinations by a surgeon and radiologist. Surgery was the definitive benchmark. The preoperative assessment included disability of arm, shoulder, and hand (DASH) scores and visual analog scale (VAS) pain measurements at 6 weeks, with postoperative evaluations at both 6 weeks and 6 months.
Results: Preoperatively (after 4 weeks), the QuickDASH score mean was 58.27%. Postoperative QuickDash score mean for 6 weeks and 6 months was 56.027 and 3.44%. The preoperative VAS score mean was 6.5. Postoperative VAS scores for 6 weeks and 6 months were 2.29 and 0.54. The <i>p</i>-value for DASH and VAS was highly significant, with a value of 0.0005.
Conclusion: Our study emphasizes the significance of detecting anatomical variations in De Quervain's disease. Employing reliable diagnostic methods enhances surgical precision, improves patient recovery and recurrence prevention, and optimizes disease management. |
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| ISSN: | 2582-7863 |