Dr. Steven Rueda is one of the most sought after doctors for DeQuervains tenosynovitis in Palm Beach. The condition arises from inflammation of the lining that covers the wrist tendons. These tendons help move the thumb out of the palm. It is very common on woman during and shortly after pregnancy. It is also common in patients with poorly controlled diabetes.
WHAT CAUSES DEQUERVAINS TENOSYNOVITIS?
The tendons affected by DeQuervains head towards the thumb through a tunnel that passes by a structure called the “extensor retinaculum”. This tunnel is very tight, and any inflammation in the tendon limits the ability of the tendon to glide smoothly. Patients with DeQuervains have increased inflammation in the tendon lining which leads to increased friction in the tunnel. These changes translate into symptoms of locking, catching, pain, and limited motion of the thumb.
DEQUERVAINS TENOSYNOVITIS PROCEDURE
Dr. Rueda performs DeQuervains using a traditional open surgery. The procedure removes inflammation from the tendon lining and opens up the tight tunnel or “pulley”, leading to increased room for the thumb tendons.
Made along a vertical direction in line with the forearm.
Frequently Asked Questions (FAQ)
Patients with classic history, symptoms, and exam who have failed conservative treatment are good candidates for the procedure.
It is uncommon but its possible. The recurrence rate of DeQuervains is very small. If it happens surgery focuses on releasing the tendon from scar and freeing up more of the tunnel if needed. Activity modification may also be recommended.
Complications are very rare in DeQuervains surgery; it is a very safe procedure. Some of the uncommon risks include infection and bleeding of the surgical site. There are also other major complications that are very unlikely including damage to the radial nerve or thumb tendons.