Accuracy of intrasheath injection techniques for de Quervain's disease: a cadaveric study.
Abstract
The purpose of this study was to assess the accuracy of injections of dye into the first extensor compartment of the wrist using three different techniques in 150 wrists in 75 fresh cadavers. To compare injections, 50 wrists from 25 cadavers were used for each technique. After the injections, the first extensor compartment was dissected and the dispersion of dye around the abductor pollicis longus and extensor pollicis brevis tendons was investigated. In 72 % of all the wrists, acrylic dye was dispersed into one compartment containing both the abductor pollicis longus and extensor pollicis brevis tendons, but in 28% of the wrists there was a separate compartment for extensor pollicis brevis and dye entered only one of the compartments (14% for each compartment). For accurate injections, we think the injections should be made separately over the two tendons, to allow for the possibility of a septum within the compartment.
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Authors
Mirzanli C, Ozturk K, Esenyel CZ, Ayanoglu S, Imren Y, Aliustaoglu S
Institution
Vakif Gureba Training and Research Hospital, Orthopaedics and Traumatology Department, Adnan Menderes Bulvarı, Istanbul, Turkey. cuneytmirzanli@yahoo.com
Source
The Journal of hand surgery, European volume 37:2 2012 Feb pg 155-60MeSH
Adrenal Cortex HormonesAdult
Aged
Aged, 80 and over
Coloring Agents
De Quervain Disease
Female
Humans
Injections
Male
Middle Aged
Tendons
Thumb
Young Adult
Pub Type(s)
Comparative StudyIn Vitro
Journal Article
Language
eng
PubMed ID
21593074
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