De Quervain's tenosynovitis is an inflammation of the tendon sheaths in the first osteofibrous tunnel on the thumb side of the wrist and is one of the most common causes of pain in this area.
It occurs more often in:
The problem can significantly affect daily activities and work capacity.
De Quervain's tenosynovitis occurs due to inflammation of the tendon sheaths, which hinders the gliding of the thumb tendons. Clinical signs include swelling and pain along the affected tendon that extends the thumb, and limited and painful active movement of the thumb and wrist. It is most often a consequence of repetitive wrist and finger movements after excessive strain on the hand. At Juventina, we approach treatment holistically, with precise and safe execution of the procedure.
In the initial stages, we recommend:
If the problem persists, we recommend surgery.
We perform surgery using surgical loupes, which allows for:
At Juventini, we perform a minimally invasive surgical procedure in which:
The aim of the surgery is to relieve pain and restore normal function of the wrist and thumb.
Before the procedure, we will perform a thorough examination and, if necessary, include additional diagnostics and an MRI of the hand.
Diagnostics include:
We recommend:
Following a preliminary discussion and marking using surgical loupes on a bloodless field, a short skin incision is made, exposing the roof of the first osteofibrous tunnel and the tendons of the extensor and abductor pollicis muscles. The roof is incised, and the tendons are released. Adhesions are lysed, and the affected synovial sheath is removed, while the cutaneous branch of the radial nerve above the ligament is retracted and preserved. Precise hemostasis (bleeding control) and skin sutures follow. Postoperatively, a dressing and a supportive sling are applied.
A minimally invasive approach allows for:
After the surgery, we expect that there may be minimal pain, swelling, a pulling sensation, and altered skin sensitivity in the area of the surgical incision. These symptoms usually subside for the most part after approximately 3 weeks.
After surgery, the following may be present:
It is important to consider:
You can begin gentle finger exercises a few hours after surgery – make a fist 10 times in a row every hour. After the stitches are removed, we recommend physiotherapy and scar care.
Pain relief is often rapid, with complete recovery following in a few weeks. With an additional program Juventina Care 360° We enable rapid and safe recovery and optimal regeneration after the procedure.
Juventina Care 360° includes:
