Trigger Wrist and Carpal Tunnel Syndrome Caused by a Fibroma of the Flexor Tendon

Hyokon Kim; Sunghan Ha; Gijun Lee; Suno Yu; Jungrae Kim

doi:10.12790/jkssh.2013.18.2.76

Journal List > J Korean Soc Surg Hand > v.18(2) > 1106450

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Kim, Ha, Lee, Yu, and Kim: Trigger Wrist and Carpal Tunnel Syndrome Caused by a Fibroma of the Flexor Tendon

Case Report

J Korean Soc Surg Hand 2013;18(2):76-80.

Published online: 12 June 2013

DOI: https://doi.org/10.12790/jkssh.2013.18.2.76

Trigger Wrist and Carpal Tunnel Syndrome Caused by a Fibroma of the Flexor Tendon

Hyokon Kim, Sunghan Ha, Gijun Lee, Suno Yu, Jungrae Kim

Department of Orthopedic Surgery, MS Jaegeon Hospital, Daegu, Korea

Correspondence to: Sunghan Ha Department of Orthopedic Surgery, MS Jaegeon Hospital, 227 Jungang-daero, Nam-gu, Daegu 705-817, Korea TEL: +82-53-653-0119 FAX: +82-53-653-0770 E-mail: hash-7@hanmail.net

Received 15 January 201310 June 2013 Accepted 10 June 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Triggering of the flexor tendon at the wrist is a rare phenomenon. The triggering can be caused by many different conditions, including anomalous muscle, thickened synovium, rheumatoid disease and tumors. We report the case of a 34-year-old man with triggering at the wrist and carpal tunnel syndrome caused by a fibroma of the flexor tendon.

Keywords: Wrist, Triggering, Fibroma, Carpal tunnel syndrome

REFERENCES

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Fig. 1.

Preoperative wrist X-ray showing non-specific bony abnormality. (A) Posteroanteriorview. (B) Lateral view. (C) Carpal tunnel view.

Fig. 2.

(A) The tumor associated with the flexor digitorum profundus tendon of 5th finger. (B) The nodule was connected with tendon sheath of flexor digitorum profundus of 5th finger. (C) A well-circumscribed, pale, lobulated, firm mass was excised. (D) Tenosynovectomy of flexor tendons because of tenosynovitis by irritation of tumor in carpal tunnel was performed.

Fig. 3.

(A) Low magnification (H&E, × 40) of representative histology of the tumor shows well defined and lobulated mass. (B) High magnification (H&E, × 200) shows scattered spindle to stellate-shaped fibroblasts with collagenous stroma.

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