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Published on: February 9, 2013
Triggering of extensor pollicis longus tendon: case report
Suriya Luenam1, Arkaphat Kosiyatrakul, Sunya Prachaporn
1Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand. luenam_suriya@yahoo.com
Summary
Triggering of the extensor pollicis longus (EPL) tendon, though rare, can cause significant issues. Surgical decompression effectively treated a case caused by a tendon nodule, offering a potential management strategy.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Disorders
Background:
- The extensor pollicis longus (EPL) tendon facilitates thumb extension.
- Triggering of the EPL tendon is an infrequent condition with limited documented cases.
- Existing literature offers sparse guidance on managing EPL tendon triggering.
Observation:
- A 42-year-old female presented with symptoms indicative of a triggering EPL tendon.
- The triggering was found to be secondary to a nodule on the EPL tendon.
- This case highlights a specific etiology for EPL tendon dysfunction.
Findings:
- Surgical decompression was performed to address the triggering EPL tendon.
- Intraoperative findings confirmed the presence of a tendon nodule as the cause.
- The surgical intervention successfully resolved the triggering phenomenon.
Implications:
- This case report contributes to the limited literature on EPL tendon triggering.
- Surgical decompression is presented as an effective treatment for EPL tendon nodules causing triggering.
- The findings may inform future management strategies for this rare condition.
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