De Quervain’s (Hand surgery)

De Quervain’s tenosynovitis also known as Blackberry thumb, texting thumb and in more recent years, gamer’s thumb is a hand condition primarily affecting the thumb.

At Marina Plastic Surgery, our hand surgery specialist team can assure you that we have the knowledge, treatments and procedures needed to treat your condition based on our success rate with past patients.

Overview

De Quervain’s tenosynovitis also known as Blackberry thumb, texting thumb and in more recent years, gamer’s thumb is a hand condition primarily affecting the thumb.

At Marina Plastic Surgery, our hand surgery specialist team can assure you that we have the knowledge, treatments and procedures needed to treat your condition based on our success rate with past patients.

This condition affects people who have suffered physical trauma to the hand, have a tendency to perform repetitive motions, have rheumatic diseases or are pregnant.

Symptoms usually manifest in the form of swelling accompanied by burning pain.

Best Candidates

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Men and women with good general health and realistic expectations who are as close as possible to their ideal BMI based on age, height and other physical factors who are suffering from chronic pain the tendon sheath of Abductor pollicis longus brought about by De Quervain’s tenosynovitis.
martin rees

Martin Rees

MB ChB. FRACS

Martin Rees is a Cosmetic and Reconstructive Plastic Surgeon who has been in private practice since 1988, founding the Auckland…

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What to Expect

An initial consultation will be done to assess what you essentially need for functionality with a secondary assessment done for the aesthetic purpose of the operation.

Mild cases of De Quervain’s tenosynovitis are advised to refrain from engaging in activities that could aggravate the situation.

A tabletop test is done to assess the severity of the condition. It basically involves laying your hand palm down on top of a table as flat as possible. The degree of severity is then ascertained by the level of flatness of the palm on top of the table’s surface.

Treatment is highly dependent on the degree of severity of your De Quervain’s tenosynovitis hand condition. Methods used include: injecting collagen, needle aponeurotomy and finally hand surgery.

Any of the above-mentioned methods may be used or a combination of two or more to successfully treat your condition.

hand surgery for de quervain's tenosynovitis

After Surgery / Recovery

As with all types of surgical procedures, caring for the areas where sutures were made is the highest priority. Following your hand surgery specialist’s instruction for the proper care of affected areas is highly advised.

Minimal pain management can be administered by hospital staff or by the patient. It can be oral or through intravenous methods.

Physical therapy will be introduced gradually for muscle strengthening and fortifying the areas operated on.

A splint may be used in the first few days after the operation to isolate the wrist if surgery is done.

Procedure Planner

Initial Meeting

30 minutes

Pre-op

15 minutes (for consent and pre med)

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Procedure Time

30 to 40 minutes

Recovery Time

4 – 8 weeks. Longer for people who do physical work

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Post-op Follow Up

Periodic follow up needed up to 2 months to check progress

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