Stenosing tenosynovitis of the extensor carpi ulnaris.
Despite the paucity of reports in the literature, we have found extensor carpi ulnaris tenosynovitis to be relatively common in our practice. A retrospective review of charts revealed 15 patients treated over the last 4 years. Follow-up ranged from 10 to 14 months. All patients had ulnar-sided wrist pain and underwent conservative treatment consisting of splinting and steroid injection. In 7 of the 15 initial treatment failed and surgical release was required. Of these, 3 exhibited partially ruptured tendons from exposed bone and underwent reconstruction of the floor of the compartment. Preoperative x-ray films were helpful in identifying those with bone involvement. All but one patient had a good or excellent result. Stenosing tenosynovitis of the extensor carpi ulnaris may be more common than reported, and early intervention may prevent tendon damage in some patients.
Crimmins
C A
CA
Division of Plastic Surgery, UCLA, USA.
Jones
N F
NF
D003251:Constriction, Pathologic / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000534:rehabilitation; D012050:Rehabilitation, Vocational; D013165:Splints; D013708:Tendon Injuries / Q000601:surgery; D013717:Tenosynovitis / Q000601:surgery*; D016896:Treatment Outcome; D014953:Wrist / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery