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Related Experiment Videos

Trigger wrist and flexor tenosynovitis

R D Smith1, S T O'Leary, C J McCullough

  • 1Department of Orthopaedics, Northwick Park, UK. daron@dodec.co.uk

Journal of Hand Surgery (Edinburgh, Scotland)
|January 15, 1999
PubMed
Summary
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A rare wrist tumor, profundus tendon sheath fibroma, caused severe flexor tenosynovitis. Surgical removal effectively treated this condition, restoring wrist and finger function.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Tumors

Background:

  • Tendon sheath fibromas are benign tumors arising from the connective tissue surrounding tendons.
  • While typically slow-growing, they can occasionally present with acute symptoms due to mass effect.
  • Profundus tendon sheath fibromas are uncommon, particularly those causing significant tenosynovitis.

Observation:

  • A patient presented with wrist pain and triggering, indicative of a potential tendon issue.
  • The condition rapidly progressed, leading to severe flexor tenosynovitis.
  • This tenosynovitis significantly restricted both finger and wrist mobility.

Findings:

  • Histopathological examination confirmed the diagnosis of a profundus tendon sheath fibroma.

Related Experiment Videos

  • The fibroma's location and size were directly correlated with the observed tenosynovitis and functional limitation.
  • Surgical excision of the tumor was performed.

    • Implications:

    • This case highlights the importance of considering rare soft tissue tumors in the differential diagnosis of wrist pain and tenosynovitis.
    • Prompt surgical intervention for symptomatic tendon sheath fibromas can lead to complete recovery.
    • Further research into the specific growth patterns and clinical presentations of these rare tumors may improve early diagnosis.