This is the most common stenosating and hypertrofic tenosynovitis of the extensor tendons in the upper limb. The symptoms can be extremely invalidating and consist in a strong pain and antalgic limitation of thumb’s extension.
Inflammation and swelling of extensor pollicis brevis and abductor pollicis longus impair tendon sliding through a fibrous compartment, producing the typical symptoms of the disease.
Procedure
This surgery is performed under local anesthesia and do not require hospitalization. A transverse incision of 15 mm is performed at the wrist. The fibrous compartment of extensor pollicis brevis and abductor pollicis longus is opened (the first extensor compartment).
Return to daily activities is allowed 7 days after surgery. Sports and manual activities should be resumed three weeks after the procedure.