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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Trapezium Tunnel Syndrome.

Ahmadreza Afshar1, Ali Tabrizi1, Mohammad Javad Shariyate1

  • 1Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

The Journal of Hand Surgery
|November 24, 2023
PubMed
Summary

Trapezium tunnel syndrome, affecting the flexor carpi radialis tendon, can cause wrist pain, tendon rupture, and cysts. Increased clinical awareness is crucial for accurate diagnosis and treatment.

Keywords:
Flexor carpi radialis fibro-osseous tunnelflexor carpi radialis tendinitisstenosing tenosynovitistrapezium tunneltrapezium tunnel syndrome

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • The trapezium tunnel, housing the flexor carpi radialis tendon, is anatomically distinct from the carpal tunnel.
  • Trapezium tunnel syndrome involves inflammation of the flexor carpi radialis tendon and surrounding tissues.
  • This condition can lead to tendon rupture, ganglion cysts, and complications in carpal tunnel surgery.

Purpose of the Study:

  • To increase awareness and clinical suspicion of trapezium tunnel syndrome.
  • To review the pathophysiology, clinical presentation, and management of trapezium tunnel syndrome.
  • To highlight the importance of considering trapezium tunnel syndrome in radial wrist pain.

Main Methods:

  • Narrative review of existing literature.
  • Analysis of clinical presentations and potential etiologies.
  • Discussion of diagnostic challenges and treatment implications.

Main Results:

  • Trapezium tunnel syndrome is often overlooked due to its lower prevalence compared to other radial wrist pain causes.
  • Associated conditions include flexor carpi radialis tendinitis, tendon rupture, and ganglion cysts.
  • Concurrent trapezium tunnel syndrome may negatively impact carpal tunnel surgery outcomes.

Conclusions:

  • Elevating clinical suspicion for trapezium tunnel syndrome is essential for timely diagnosis.
  • Understanding intrinsic and extrinsic factors contributing to the syndrome is key.
  • Further research may elucidate optimal diagnostic and therapeutic strategies.