A case report: Surgical Release for De Quervain Syndrome after conservative treatment of distal radius fracture.

OBJECTIVE

Describe the clinical and paraclinical characteristics of De Quervain Syndrome and the result of the surgery for De Quervain Syndrome after conservative treatment of distal radius fracture.

SUBJECTS AND

METHODS

A case report.

RESULTS

De Quervain Syndrome is a condition that involves tendon entrapment affecting the first dorsal compartment of the wrist. It has been reported that De Quervain Syndrome can also develops after distal radius fracture. We report a case that the patient was diagnosed with De Quervain Syndrome after conservative treatment of distal radius fracture. During surgery we noticed that the patient had separated tendon sheaths for abductor pollicis longus (APL) and extensor pollicis brevis (EPB). EPB tendon sheath was released and reconstructed to prevent tendon subluxation. After 6 months, patient was feeling no pain and very satisfied.

CONCLUSIONS

De Quervain Syndrome development after distal radius fracture is rare. The successful surgery got the patient came back to work normally.