The Comparison of Transverse Versus Longitudinal Skin Incisions in First Extensor Compartment Release for Radial Styloid Tenosynovitis: A Retrospective Analysis
Mert Kahraman Maraşlı1, Yusuf Ocak2, Ömer Duman2, Alim Evli2, Ali Cavit3, Birkan Kibar31Department of Orthopaedics and Traumatology, Gebze Fatih State Hospital, Kocaeli, Türkiye, 2Department of Orthopaedics and Traumatology, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, Türkiye, 3Department of Hand and Upper Extremity Surgery, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, Türkiye
Objectives: The present study aimed to address this gap in the literature by comparing the effects of longitudinal and transverse incisions on clinical and functional outcomes. Methods: Between 2018 and 2023, 44 patients (six males and 38 females) who underwent surgical release for DQV were included in the study. A transverse incision (TI) was performed in 16 patients, and a longitudinal incision (LI) was performed in 28 patients. Patients completed the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Visual Analog Scale (VAS), and Patient-Rated Wrist Evaluation (PRWE) questionnaires. Patients were divided into two groups: the LI group and the TI group. The groups were compared in terms of VAS, QuickDASH, PRWE specific function (PRWESF), PRWE usual function (PRWE-UF), PRWE function (PRWE-F), PRWE pain (PRWE-P), and PRWE total (PRWE-T) scores and complications. Results: No statistically significant differences were identified between the groups in terms of VAS, QuickDASH, PRWESF, PRWE-UF, PRWE-F, PRWE-P, and PRWE-T scores. Conclusion: Both incision techniques provided satisfactory clinical and functional outcomes. No statistically significant differences were identified between the groups; however, larger prospective studies are required to determine whether clinically meaningful differences exist between incision orientations. Keywords: De Quervain, tenosynovitis, surgery
Cite This Article
Maraşlı M, Ocak Y, Duman Ö, Evli A, Cavit A, Kibar B. The Comparison of Transverse Versus Longitudinal Skin Incisions in First Extensor Compartment Release for Radial Styloid Tenosynovitis: A Retrospective Analysis. EJMI. 2026; 10(3): 279-283
Corresponding Author: Mert Kahraman Maraşlı