Basic Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2018; 9(2): 7-13
Published online Feb 18, 2018. doi: 10.5312/wjo.v9.i2.7
Optimal surgical approach for the treatment of Quervains disease: A surgical-anatomical study
Alexander R Poublon, Gert-Jan Kleinrensink, Anton LA Kerver, J Henk Coert, Erik T Walbeehm
Alexander R Poublon, Gert-Jan Kleinrensink, Department of Neuroscience and Anatomy, Erasmus MC, Rotterdam, Zuid-Holland 3000 CA, Netherlands
Anton LA Kerver, Department of Plastic and Reconstructive surgery, Catharina Ziekenhuis, Eindhoven, Noord-Brabant 5623 EJ, Netherlands
J Henk Coert, Department of Plastic Surgery, UMC Utrecht, Utrecht, Utrecht 3584 CX, Netherlands
Erik T Walbeehm, Department of Plastic Surgery, Radboud UMC, Gelderland, Nijmegen 6500 HB, Netherlands
Author contributions: Poublon AR and Kerver ALA performed the research, did the experiments and wrote the paper; Kleinrensink GJ, Coert JH and Walbeehm ET helped with study design and writing of the paper.
Institutional review board statement: As this is a cadaveric study, no institutional review board statement is required.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Data sharing statement: No additional date was available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Alexander R Poublon, MD, Academic Research, Department of Neuroscience and Anatomy, Erasmus MC, Postbus 2040, Rotterdam, Zuid-Holland 3000 CA, Netherlands.
Telephone: +31-62-8426599 Fax: +31-10-7043257
Received: September 7, 2017
Peer-review started: September 24, 2017
First decision: November 6, 2017
Revised: January 6, 2018
Accepted: January 23, 2018
Article in press: January 23, 2018
Published online: February 18, 2018
Core Tip

Core tip: Although many incision techniques can be found in literature no consensus on the best incision technique has been established. The study shows a large variation in the course of the superficial branch of the radial nerve over the first extensor compartment. However no complete safe zone can be defined. The choice of incision remains surgeons’ preference and surgical skills are paramount to prevent iatrogenic nerve damage.