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Awake during surgery (no sedation): About 20-30 minutes prior to the procedure, local anesthesia will be injected into the affected hand.Anesthesia Optionsįirst dorsal compartment release surgery can be performed with or without sedation: Dietary restrictions and other preparation details vary depending on the type of anesthesia used during the procedure. In most cases, you will be able to resume taking these medications again the day after surgery. Preparing for SurgeryĪnti-inflammatory or blood-thinning medications such as aspirin should not be taken at least five days before surgery. The incision is closed with absorbable sutures, and a splint covered with an ace wrap is applied. Additional removal of thickened tendon lining may be necessary. During the procedure, an incision is made just below the tip of the radial styloid, and the first dorsal compartment is opened. © American Academy of Orthopaedic Surgeons.įirst dorsal compartment release is a surgical procedure that involves releasing the tendon sheath to relieve the constriction of the tendons as they pass though the sheath.
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Surgical Treatment Option: First Dorsal Compartment Release Reproduced with permission from OrthoInfo. To learn more about the causes and symptoms of De Quervain’s tenosynovitis, click the button below: In addition to inflammation and swelling, fine fibers of scar tissue can form between the sheaths and tendons.Ĭontinue reading for more detailed information about first dorsal compartment release surgery. When inflamed, the sheath lining thickens, thereby reducing the amount of space through which the tendons are able to pass. These tendons glide through a protective covering called a tendon sheath – a thin membrane that helps reduce friction as the tendons glide through the tendon sheath. This condition results from inflammation and swelling around the tendons that run along the thumb-side of the wrist. American Academy of Orthopaedic Surgeons, 2005.įirst dorsal compartment (De Quervain’s) release surgery is a treatment option for patients with De Quervain’s tenosynovitis. First Dorsal Compartment Release Reproduced with permission from: Griffin LY (ed): Essentials of Musculoskeletal Care, 3rd Edition.