Perineural fibrosis and scarring of superficial nerves can occu r secondary to chronic frictional forces. This results in a tender lump in the nerve and hyperesthesia of the area of its distribution. Bowler's thumb is a well known entity which involves the ulna side digital nerve of the thumb at the level of the MP joint. This article describes a perineural fibrosis of the digital branch of the thumb in a jeweller who presented with pain and swelling at the center interphalangeal joint. Surgical excision of the fibrous mass and neurolysis has relieved the symptoms.
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