Upper Extremity Tendinopathies (trigger digits, deQuervains, Lateral epicondylitis)-Hand Surgery Update IV: DeQuervain’s Tenosynovitis

Video Transcription

are identified with the APL and EPB having separate compartments. Once the soft tissue is carefully mobilized, the first component with the APL compartment  is released under direct vision with synonymy scissors. There's a second compartment in this case for the EPB, which is also released.  There's a tremendous amount of synovitis surrounding the tenons that is removed with synonymy scissors  in order to be able to better inspect the tenons to ensure that there are no additional compartments that need to be released. Once this is completely released and stabilized,  the wound margin injected with a quarter percent marking with epinephrine, and the wound is closed with the runnings of a cuticular suture.  The patient is splinted for two weeks in a plastered thumb spike of splint.

Video Summary

In the video, the APL and EPB compartments of the soft tissue are carefully mobilized and released using synonymy scissors. The synovitis surrounding the tenons is removed to inspect for additional compartments that may need to be released. Afterward, the wound margin is injected with a marking solution containing epinephrine, and the wound is closed using cuticular sutures. The patient's thumb is then splinted for two weeks with a plastered thumb spike of splint. No credits are mentioned or identified in the video transcript.

Keywords

APL compartment

EPB compartment

soft tissue

synovitis

tenons