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deQuervain Release 25000

 
CPT Coding Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:deQuervain's release, 1st extensor compartment release, incision 1st extensor compartment

deQuervain Release Indications

  • H

deQuervain Release Contraindications

deQuervain Release Alternatives

  • A

deQuervain Release Pre-op Planning

  • A

deQuervain Release Technique

  • Pre-op antibiotics
  • Sign operative site
  • Anesthesia: local anesthesia, with or without intravenous sedation
  • Consdier tourniquet
  • Prep and drap
  • Incision: can be transverse, longitudinal, oblique or chevron over the first dorsal compartment.   Chevron-style incision may aid in visualization of the radial sensory nerve
  • Blunt dissection under loop magnification
  • Identify and protect the radial sensory nerve.
  • Expose the first dorsal compartment incise the retinaculum along its dorsal margin in line with the APL and
    EPB tendons.
  • APL tendon is larger, generally has two or more distinct tendons
  • EPB tendon is smaller, dorsal,  often lies in a separate compartment
  • Any intra-compartmental septae are released and excised.
  • Debride any loose tenosynovial tissue on the tendon
  • Close skin incision
  • Dressing

deQuervain Release Complications

 

deQuervain Release Follow-up care

  • Post-op:
  • 7-10 Days:
  • 3 Weeks:
  • 6 Weeks:
  • 2 Months:
  • 3 Months:
  • 6 Months:
  • 1Yr:

deQuervain Release Outcomes

  • (R

deQuervain Release Review References

 

 

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