[Carpal tunnel syndrome and "trigger wrist" revealing a tendinous sheath fibroma].
The tendinous sheath fibroma (TSF) is a rare benign tumor, exceptionally responsible for carpal tunnel syndrome and "trigger" wrist: we found this association less than ten times in the English and French literature. We report the case of a 63-year-old right-handed carpenter who featured a triggering phenomenon of the right wrist during the flexion-extension movements and compression of the median nerve at the carpal tunnel, secondary to a TSF of the flexor digitorum superficialis. The diagnosis was suspected at the sonography and MRI, the tumor was excised and proven histologically to be a TSF. One year later, the patient remained free of symptoms.
Service de traumatologie orthopédie, CHU Mohammed-VI, Marrakech, Maroc; FMPM, université Cadi-Ayyad, Marrakech, Maroc. Electronic address: m.a.benhima@gmail.com.
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Benhima
Service de traumatologie orthopédie, CHU Mohammed-VI, Marrakech, Maroc; FMPM, université Cadi-Ayyad, Marrakech, Maroc.
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Ait Essi
Service de traumatologie orthopédie, CHU Mohammed-VI, Marrakech, Maroc; FMPM, université Cadi-Ayyad, Marrakech, Maroc.
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Abkari
Service de traumatologie orthopédie, CHU Mohammed-VI, Marrakech, Maroc; FMPM, université Cadi-Ayyad, Marrakech, Maroc.
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Najeb
Service de traumatologie orthopédie, CHU Mohammed-VI, Marrakech, Maroc; FMPM, université Cadi-Ayyad, Marrakech, Maroc.
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Fikry
D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D005350:Fibroma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D013710:Tendons / Q000601:surgery; D016896:Treatment Outcome; D014955:Wrist Joint / Q000601:surgery*
Carpal tunnel syndrome; Fibrome des gaines tendineuses; Flexor digitorum superficialis; Poignet à ressaut; Syndrome du canal carpien; Tendons sheath fibroma; Trigger wrist