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Updated: Jan 26, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Fibroma of tendon sheath embedded in carpal bones mimicking carpal enchondroma: A case report
Zhuo Fu1,2, Jianfeng Liu1,2, Dongxu Huang1,2
1Department of Hand and Foot Surgery, The First Hospital of Jilin University.
Rationale:
Fibroma of tendon sheath is a rare entity that is typically attached to the tendon sheath.
Patient Concerns:
A 43-year-old man presented with a painful mass in his right wrist, which was initially misdiagnosed as an enchondroma.
Diagnosis:
Fibroma embedded into carpal bones, which exhibited lytic radiographic features similar to those of enchondroma. Excisional biopsy demonstrated spindle-shaped cells and collagen-like stroma.
Interventions:
The patient underwent lesion resection surgery.
Outcomes:
The patient recovered well and showed no signs of recurrence at 6-month follow-up.
Lessons:
This case provides valuable insights for hand surgeons. While radiograph is helpful in multiple diseases, histological examination is indispensable for establishment of final diagnosis.
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