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

J Korean Soc Surg Hand. 2013 Jun;18(2):76-80. Korean.
Published online June 27, 2013.  https://doi.org/10.12790/jkssh.2013.18.2.76
Copyright © 2013. The Korean Society for Surgery of the Hand
Trigger Wrist and Carpal Tunnel Syndrome Caused by a Fibroma of the Flexor Tendon
Hyokon Kim, Sunghan Ha, Gijun Lee, Suno Yu and 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, Email: hash-7@hanmail.net
Received January 15, 2013; Revised June 10, 2013; Accepted June 10, 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

Figures


Fig. 1
Preoperative wrist X-ray showing non-specific bony abnormality. (A) Posteroanterior view. (B) Lateral view. (C) Carpal tunnel view.
Click for larger image


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.
Click for larger image


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.
Click for larger image

References
1. Eibel P. Trigger wrist with intermittent carpal tunnel syndrome: a hitherto undescribed entity with report of a case. Can Med Assoc J 1961;84:602–605.
2. Chung EB, Enzinger FM. Fibroma of tendon sheath. Cancer 1979;44:1945–1954.
3. Suematsu N, Hirayama T, Takemitsu Y. Trigger wrist caused by a giant cell tumour of tendon sheath. J Hand Surg Br 1985;10:121–123.
4. Brown LP, Coulson DB. Triggering at the carpal tunnel with incipient carpal-tunnel syndrome. Report of an unusual case. J Bone Joint Surg Am 1974;56:623–624.
5. Aghasi MK, Rzetelny V, Axer A. The flexor digitorum superficialis as a cause of bilateral carpal-tunnel syndrome and trigger wrist: a case report. J Bone Joint Surg Am 1980;62:134–135.
6. Desai SS, Pearlman HS, Patel MR. Clicking at the wrist due to fibroma in an anomalous lumbrical muscle: a case report and review of literature. J Hand Surg Am 1986;11:512–514.
7. Kernohan JG, Benjamin A, Simpson D. Trigger wrist due to anomalous flexor digitorum profundus muscle in association with fibroma of tendon sheath. Hand 1982;14:59–60.
8. Millon SJ, Bush DC, Garbes AD. Fibroma of tendon sheath in the hand. J Hand Surg Am 1994;19:788–793.
TOOLS
Similar articles

Trigger Wrist

Carpal Tunnel Syndrome and Rupture of Flexor Tendon Associated from Neglected Anterior Lunate Dislocation

Trigger Wrist

Primary Ring Flexor Digitorum Superficialis Transfer with Open Carpal Tunnel Release in Extreme Carpal Tunnel Syndrome

Intratendinous Fibroma with a Flexor Profundus Tendon Tear in the Finger of an Adolescent Baseball Player: A Case Report