First Extensor Compartment Release for De Quervain's Tenosynovitis

1. Introduction

2. Local Anesthesia

3. Prep and Drape

4. Tourniquet

5. Incision over Radial Styloid

6. Subdermal Dissection and Protection of Sensory Nerve Branches

7. Incision into Extensor Retinaculum and First Extensor Compartment

8. Exploration and Full Release of Tendons: EPB, APL

1. Check for and Release any Accessory Compartments

9. Confirming Release, Having Patient Move Their Thumb, and Hemostasis

10. Closure