A comprehensive analysis of medium-term outcomes of open first dorsal compartment release for de Quervain's syndrome

Hand Surg Rehabil. 2021 Feb;40(1):40-43. doi: 10.1016/j.hansur.2020.10.004. Epub 2020 Oct 21.

Abstract

The primary aim of this study is to describe medium-term functional outcomes following first dorsal compartment decompression using a longitudinal incision in patients with de Quervain's syndrome. The secondary aims are to describe the improvement in health-related quality of life and patient satisfaction, and to determine the cost-effectiveness of this procedure. Pre- and postoperative QuickDASH, EQ-5D-5 L, and satisfaction scores were collected prospectively over five years. Paired data were available for 36 patients (90% at mean 32 months follow-up). The median QuickDASH score improved significantly from 50 to 9.1 (p < 0.01). Median EQ-5D-5L index scores improved from 0.65 preoperatively to 0.73 (p = 0.03). The satisfaction rate was 97% and there were no cases of superficial radial nerve injury or neuroma. The cost per quality-adjusted life year gained was £356 (€398; $449). First dorsal compartment release using a longitudinal incision results in a significant improvement in function, with high levels of patient satisfaction, and low complication rates. In addition, health economic analysis revealed that this is a cost-effective procedure for the treatment of de Quervain's syndrome. LEVEL OF EVIDENCE: III (cohort study).

Keywords: Cost-utility analysis; De Quervain’s syndrome; Functional outcomes; Maladie de De Quervain; Ratio coût-utilité; Résultats fonctionnels.

MeSH terms

  • Cohort Studies
  • De Quervain Disease* / surgery
  • Humans
  • Patient Satisfaction
  • Quality of Life*
  • Radial Nerve