Steroid injection for stenosing tenosynovitis of the extensor carpi ulnaris

A rare previously unreported cause of flexor tendon rupture is described. A 66-year-old man presented with a fully extended left middle finger, accompanied by swelling and purulent drainage. Prior to presentation, he had received a steroid injection for left middle finger stenosing tenosynovitis and subsequently developed culture-proven phaeohyphomycosis fungal infection and secondary enterococcal bacterial infection, requiring pharmacotherapy and incision, drainage, and debridement for abscess formation. Clinical and magnetic resonance imaging findings were consistent with the diagnosis of closed flexor tendon rupture of the left middle finger. Antifungal and antibiotic therapy followed by two-stage flexor tendon reconstruction was performed. Six months postoperatively, full passive range of motion was achieved and the proximal interphalangeal and distal interphalangeal joints of the left middle finger actively flexed to 125° and 90°, respectively.

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Stenosing tenosynovitis of the extensor carpi ulnaris

The Journal Of Hand Surgery ◽

10.1016/s0363-5023(86)80188-5 ◽

1986 ◽

Vol 11 (4) ◽

pp. 519-520 ◽

Cited By ~ 35

Author(s):

Ahmad A. Hajj ◽

Michael B. Wood

Keyword(s):

Extensor Carpi Ulnaris ◽

Stenosing Tenosynovitis

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Stenosing Tenosynovitis of the Extensor Carpi Ulnaris

Annals of Plastic Surgery ◽

10.1097/00000637-199507000-00020 ◽

1995 ◽

Vol 35 (1) ◽

pp. 105-107 ◽

Cited By ~ 21

Author(s):

Curtis A. Crimmins ◽

Neil Ford Jones

Keyword(s):

Extensor Carpi Ulnaris ◽

Stenosing Tenosynovitis

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Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20191443 ◽

2019 ◽

Vol 5 (3) ◽

pp. 403

Author(s):

Shanmuga Sundaram Pooswamy ◽

Niranjanan Raghavn Muralidharagopalan

Keyword(s):

Steroid Injection ◽

Corticosteroid Injection ◽

Signs And Symptoms ◽

Common Condition ◽

Abductor Pollicis Longus ◽

De Quervain’S Tenosynovitis ◽

Stenosing Tenosynovitis ◽

Vas Scores ◽

Finkelstein’S Test

Background: De Quervain’s disease or stenosing tenosynovitis of the first dorsal compartment of the wrist is a common condition, which affects the Abductor pollicis longus and the extensor pollicis brevis tendons. There are characteristic signs and symptoms including a positive Finkelstein's test. Different options for treatment include conservative approaches like analgesics, splinting and physical therapy. If conservative options fail then steroid injection is considered.Methods: This is a retrospective study of single dose intra-sheath triamcinolone and lignocaine injection in 32 patients at our institute who were followed up for a period of 12 months.Results: In our study there were 25 females and 7 males with a mean age of 46.4±8.03 years. Right side was involved in 17 patients and left side in 15 patients. The pre procedure VAS score was 8.65±1.07. The follow up VAS scores at 1, 6 and 12 months respectively were 1.4±1.14, 0.84±1.06 and 1.03±1.26 respectively. 4 out of 32 patients had positive Finkelstein’s test at 1 year follow up. Common complications were pain at injection site, which was seen in 5/32 patients and depigmentation seen in 2/32 patients.Conclusions: Thus intra sheath triamcinolone injection is a safe and effective procedure for treatment of De Quervains disease.

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Percutaneous trigger thumb release: a safe push-pull technique

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194550 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1166

Author(s):

Saravanan G. ◽

Thiyagarajan U. ◽

Senthil L. ◽

Pradeep J. P. ◽

Gokul Raj D.

Keyword(s):

Steroid Injection ◽

Flexor Tendon ◽

Tendon Sheath ◽

Patient Questionnaire ◽

Trigger Thumb ◽

Percutaneous Release ◽

Stenosing Tenosynovitis ◽

Safe Technique ◽

Flexor Tendon Sheath ◽

A1 Pulley

Background: Stenosing tenosynovitis of the thumb is an inflammation of flexor tendon sheath of A1 pulley. Percutaneous release has recently gained popularity. Successful percutaneous release depends upon proper prediction of the location of the A1 pulley and circumventing injury to the neurovascular bundles. The aim of this study was to determine the safety of percutaneous release of trigger thumb.Methods: Twenty eight patients were included in the study between 2015 and 2018. All the patients were percutaneously released using push-pull technique. Steroid injection was given following the release. Quinnell grading, patient questionnaire and visual analogue scale score was used to assess the patients at 2 weeks, 6 weeks and 6 months and 1 year.Results: Satisfactory results were found in 93% of patients. Two patients complained of pain and swelling till third week. No digital nerve injury occurred in any patients.Conclusions: Percutaneous trigger thumb release using this push-pull technique is a simple and a safe technique with very minimal complications.

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