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Stenosing tenosynovitis of the extensor carpi ulnaris
1Division of Plastic Surgery, UCLA, USA.
Annals of Plastic Surgery
|July 1, 1995
Summary
Extensor carpi ulnaris tenosynovitis, a common cause of ulnar-sided wrist pain, often requires surgical release when conservative treatments fail. Early intervention may prevent tendon damage and improve outcomes.
Area of Science:
- Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Extensor carpi ulnaris tenosynovitis is infrequently reported in medical literature.
- Ulnar-sided wrist pain is a common complaint with various potential etiologies.
Purpose of the Study:
- To investigate the prevalence and treatment outcomes of extensor carpi ulnaris tenosynovitis.
- To evaluate the effectiveness of conservative and surgical interventions for this condition.
Main Methods:
- Retrospective chart review of 15 patients diagnosed with extensor carpi ulnaris tenosynovitis over 4 years.
- Analysis of treatment approaches including splinting, steroid injections, and surgical release.
- Assessment of preoperative X-rays for bone involvement.
Main Results:
- 15 patients with ulnar-sided wrist pain were treated.
- Conservative treatment failed in 7 patients, necessitating surgical release.
- 3 patients required tendon reconstruction due to exposed bone, identified via X-ray.
- 93% of patients achieved good or excellent results post-treatment.
Conclusions:
- Stenosing tenosynovitis of the extensor carpi ulnaris may be more prevalent than previously documented.
- Early diagnosis and intervention can potentially avert tendon damage.
- Surgical intervention, including reconstruction when necessary, yields favorable outcomes.