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1st Extensor Compartment Release

Surgery to correct De Quervain’s tenosynovitis is called a 1st Extensor Compartment Release. This involves a small incision over the thumb side of the wrist to access and release the 1st Extensor Compartment that is entrapped the EPB and APL tendons, causing pain and difficulty with movement. This is performed as an outpatient procedure or office procedure, meaning you will be able to go home that day.

Things to know:​

  • You will be discharged with an Ace wrap. Following discharge please ensure that the surgical site is kept clean and dry for 48 hours.
  • After 48 hours you may remove the bandage and shower. While showering, you may use soap and water, but be sure to pat the incision dry. It is important that you do not submerge your surgical incision in water (i.e. no bath tubs, swimming pools, washing dishes, etc.). After patting dry, you can place a band-aid over incision line.
  • It is important to elevate your arm on a couple of pillows to alleviate pain and swelling.
  • You will follow up in our office 10-14 days after surgery, for suture removal.
  • Typically follow up appointments are scheduled in two-week intervals following surgery, so we can monitor your recovery.
  • Some patients may need Occupational Therapy for range of motion and strengthening, which will be evaluated at post op visits.

Postoperative restrictions are as follows:

You should immediately start to use the affected hand after surgery, as much as tolerated, however no lifting > 5lbs.