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Title: :  FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE
PaperId: :  17602
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 8 Issue 3 2022
DUI:    16.0415/IJARIIE-17602
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Jhapindra PokharelPokhara Academy of Health Sciences
Kathit Raj GhimirePokhara Academy of Health Sciences
Sabina AdhikariPokhara Academy of Health Sciences
Subash GurungPokhara Academy of Health Sciences
Dhan Bahadur KarkiNational Academy of Health Sciences
Yadunath Baral Pokhara Academy of Health Sciences
Rupesh WodNational Academy of Health Sciences

Abstract

medicine
De Quervain’s disease1, Stenosing tenosynoviti2,surgical release3
Background: Stenosing tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendon occurs typically in adults 30-50 years old. Various modalities of treatment has been proposed for De Quervain’s Disease. The outcome of conservative treatment for this condition has shown variable results. Surgery has outstanding results when conservative measures fail to take care of the problem. Aims and Objectives: To study the functional outcome of surgical release of De Quervain’s disease.Materials and Methods:Observational prospective study was carried out in Outpatient Department (OPD) of Western Regional Hospital, Pokhara in patient of age group 16-60 years who didn’t improve with conservative treatment after a period of 6 weeks and then will be undergoing surgical release for the same problem.Time taken to return to normal activities ,anatomical variant of tendons in first extensor compartment ,complications,VAS score and effectiveness of the surgery using modified Mayo wrist score will be taken under consideration. Results:Out of 30 patients taken into study ,27(90%) were female and 3(10%) were male with female:male ratio of 9:1. 17(57%) were right hand and 13(43%) were left hand involvement and 24(80%) were right hand dominant and 6(20%) were left hand dominant. Maximum number of patients allocated in our study falls in age group of 31-45 years with mean age group being 40.2 years(50%) followed by age group of 46-60 years(30%) with least number in age group of 15- 30 years (20%).20 cases (66.67%) were house wives,6(20%) were student,3(10%) were job holders.53.3% patients had symptoms of duration 6-12 months followed by one year duration(13.3%) and least in less than six months duration(13.3%).Duration of surgery was in the range of 10-25 minutes with mean time of 12 minutes. Time taken to return to job was within six weeks with mean duration of 2 weeks.2 patients had persistent pain however, it was managed with analgesics. Preoperative VAS score 7.4 that improved to 2.1 at 2 weeks Postoperatively(POD),1.43 at 6 weeks and 1.13 at 6 months.26(86.67%) had excellent ,3(10%) had good and 1(3.33%) had fair results at 6 months follow up which was analysed by Modified Mayo Wrist Score. Conclusion: This study showed that functional outcome of surgical release of refractory de Quervain’s disease is excellent with minimum complications and surgery should be considered in those patients who do not respond to conservative treatment up to 6 weeks.

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IJARIIE Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. "FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE" International Journal Of Advance Research And Innovative Ideas In Education Volume 8 Issue 3 2022 Page 5338-5345
MLA Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. "FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE." International Journal Of Advance Research And Innovative Ideas In Education 8.3(2022) : 5338-5345.
APA Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , & Rupesh Wod. (2022). FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE. International Journal Of Advance Research And Innovative Ideas In Education, 8(3), 5338-5345.
Chicago Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. "FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE." International Journal Of Advance Research And Innovative Ideas In Education 8, no. 3 (2022) : 5338-5345.
Oxford Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. 'FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE', International Journal Of Advance Research And Innovative Ideas In Education, vol. 8, no. 3, 2022, p. 5338-5345. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_SURGICAL_RELEASE_OF_DE_QUERVAIN’S_DISEASE_ijariie17602.pdf (Accessed : 29 March 2023).
Harvard Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. (2022) 'FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE', International Journal Of Advance Research And Innovative Ideas In Education, 8(3), pp. 5338-5345IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_SURGICAL_RELEASE_OF_DE_QUERVAIN’S_DISEASE_ijariie17602.pdf (Accessed : 29 March 2023)
IEEE Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod, "FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE," International Journal Of Advance Research And Innovative Ideas In Education, vol. 8, no. 3, pp. 5338-5345, May-Jun 2022. [Online]. Available: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_SURGICAL_RELEASE_OF_DE_QUERVAIN’S_DISEASE_ijariie17602.pdf [Accessed : 29 March 2023].
Turabian Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. "FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 8 number 3 (29 March 2023).
Vancouver Jhapindra Pokharel, Kathit Raj Ghimire, Sabina Adhikari, Subash Gurung, Dhan Bahadur Karki, Yadunath Baral , and Rupesh Wod. FUNCTIONAL OUTCOME OF SURGICAL RELEASE OF DE QUERVAIN’S DISEASE. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2022 [Cited : 29 March 2023]; 8(3) : 5338-5345. Available from: https://ijariie.com/AdminUploadPdf/FUNCTIONAL_OUTCOME_OF_SURGICAL_RELEASE_OF_DE_QUERVAIN’S_DISEASE_ijariie17602.pdf
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