Le traitement chirurgical de la ténosynovite de De Quervain chez le sportif : à propos de 22 cas

Abstract

De Quervain's tenosynovitis is an inadequacy between the abductor pollicis longus and extensor pollicis brevis tendons and the osteo-fibrous tunnel in the first extensor compartment of the wrist. The authors report a retrospective study of 22 patients from different sport who have been treated surgically. The mean age was 36years old with net mal predominance. The diagnosis was mainly clinical. The surgical approach is considered with the recurrence of the painful symptoms in spite of a well-done medical management. The surgical technique consists of an incision of the sheath. The sheath palmar flap has been sutured with skin (Le Viet plasty). At two and half years follow-up, the functional results were good in all the patients. However, non-aesthetic scars were noticed in 4 patients. Surgery is indicated after failure of medical management. We use a longitudinal surgical approach to avoid the radial nerve lesions. Le Viet procedure using the palmar flap of the pulley fixed to the dermis works as a barrier and maintains the tendons sliding on the radial styloid groove.