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Stenosing synovitis of the extensor pollicis longus tendon.
George Kardashian1, Alexander D Vara, Stephen J Miller
1University of Miami Miller School of Medicine, Miami, FL, USA.
The Journal of Hand Surgery
|June 4, 2011
Summary
Stenosing tenosynovitis of the extensor pollicis longus (EPL) tendon, particularly with triggering, is rare in non-rheumatoid arthritis patients. This report details two such cases at Lister's tubercle and their management.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Extensor pollicis longus (EPL) tenosynovitis is infrequently reported in patients without rheumatoid arthritis.
- Stenosing tenosynovitis of the EPL, especially when associated with triggering, is exceptionally uncommon.
Purpose of the Study:
- To present two cases of stenosing tenosynovitis of the EPL with triggering.
- To describe the clinical presentation and treatment of these rare cases occurring at Lister's tubercle.
Main Methods:
- Case report presentation of two patients with EPL stenosing tenosynovitis and triggering.
- Clinical examination and diagnostic evaluation focused on the thumb and wrist anatomy.
- Surgical intervention and post-operative follow-up details.
Main Results:
- Successful surgical management of both cases of EPL stenosing tenosynovitis with triggering.
- Resolution of symptoms and restoration of thumb function post-treatment.
Conclusions:
- Stenosing tenosynovitis of the EPL with triggering at Lister's tubercle can occur in the absence of rheumatoid arthritis.
- Surgical release is an effective treatment for this condition, addressing both stenosis and triggering.
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