this is Aaron frelich and the following
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video will show a force first dorsal
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compartment release for de Quervain's
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tenosynovitis you can see we've
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identified the first dorsal compartment
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and marked our incision over the radial
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styloid and the first dorsal compartment
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the skin is incised sharply and then
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blunt dissections continued to identify
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any branches of the superficial sensory
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radial nerve prior to encountering the
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extensor compartment once these nerves
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are identified and retracted safely out
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of the way we can then identify the
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extensor compartment here you can see
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one of those branches
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our incision releasing the compartment
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is planned along its dorsal aspect
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leaving enough of the sheath to prevent
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any Bowl or subluxation of the tendons
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once the release is completed the sheath
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is incised sharply and the remainder the
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release is then performed with scissors
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the confirming complete release and the
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dependents are gliding freely and then
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ensure that there are no additional
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slips in a separate compartment that are
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missed
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any bone nasty fights or other causes of
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impingement or irritation can be excised
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sub periodic
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you can see the tended to glide smoothly
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and do knocks uh blocks bowling
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the incisions then closed with an
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absorbable suture and then a thumbs like
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a splint is applied after a sterile
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dressing