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Tenosynovitis: tendon and nerve entrapment.

E A Rosenthal1

  • 1Tufts University School of Medicine, Boston, Massachusetts.

Hand Clinics
|November 1, 1987
PubMed
Summary
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This study reviews hand and wrist tenosynovitis and carpal tunnel syndrome, discussing pathophysiology, symptoms, and treatments. It proposes a grading system for median nerve deformities to guide surgical decisions for stenosing tenosynovitis.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Nerve Entrapment Syndromes

Background:

  • Idiopathic tenosynovitis and carpal tunnel syndrome cause hand and wrist pain and dysfunction.
  • Nerve entrapment and tendon issues are common in the hand and wrist.

Purpose of the Study:

  • To discuss the pathophysiology of tendon and nerve entrapment in the hand and wrist.
  • To review clinical symptoms, treatments, and prognosis for tenosynovitis and carpal tunnel syndrome.
  • To present a systematic approach for operative treatment selection based on symptom severity and surgical findings.

Main Methods:

  • Literature review of pathophysiology, clinical presentation, and treatment of tenosynovitis and carpal tunnel syndrome.
  • Development of a grading system for median nerve deformities.

Related Experiment Videos

  • Correlation of deformity grades with clinical symptoms and surgical outcomes.

    • Main Results:

    • Pathophysiology of nerve entrapment and tenosynovitis detailed.
    • Clinical symptoms, nonoperative/operative treatments, complications, and prognosis are reviewed.
    • A classification system for median nerve deformities is proposed, linking grades to symptoms and guiding surgical approach.

    Conclusions:

    • A structured approach to surgical treatment is essential for tenosynovitis and carpal tunnel syndrome.
    • Classifying median nerve deformities aids in tailoring surgical procedures.
    • Severity of symptoms and intraoperative findings are key determinants for operative treatment philosophy.