DOI: 10.36347/sjams.2019.v07i10.046

Pages: 3451-3453

The tenosynovite of Dequevain remains among the principal causes of the pains of the radial edge of the wrist. To relieve the patient of this pain source of discomfort and functional impotence was since the era of Dequervain the concern of the experts. If the majority of them plead until our days for medical assumption of responsibility, others nevertheless direct their attitude towards an early surgery like radical treatment without repetition. Elsewhere, much from authors concluded with the relation between the failure from the medical treatment and the existence from anatomical variations, particularly the existence of a septum intratunellaire insulating tendon EPB in a tight compartment. It is to define the place of the surgery in therapeutic, that we propose an analytical study of ten cases of TSDQ treated surgically in the service between 2015 and 2017. Among our patients, we carried out successfully the technique of fixing of the scrap capsulaire to the derm after the realization of a synovectomy and/or the résection of a septum or a musculo-tendineuse anomaly. In the light of our results and those of the literature, it appears clear that the surgery offers an effective solution in the therapeutic management of the TSDQ and deserves to be regarded as the treatment of 1st intention in the cases seen tardily.