Tenosynovitis of the extensor pollicis longus (EPL) is rarely reported in patients without rheumatoid arthritis but may lead to thumb snapping as a consequence of EPL stenosing tenosynovitis.This case presents painful thumb snapping that developed after a wrist trauma and repetitive loading. Ultrasound and MRI were used as diagnostic tools, before surgical release of the EPL in the third extensor compartment was performed. Neither EPL tenosynovitis nor thumb snapping were found at follow-up.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189921 | PMC |
http://dx.doi.org/10.1136/bcr-2020-241306 | DOI Listing |
Plast Reconstr Surg Glob Open
November 2024
Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Supernumerary extensor tendons of the hand are relatively common, whereas supernumerary extensor pollicis longus (EPL) tendons are rarely reported. Herein, we present the case of a 17-year-old boy with painful snapping at the anatomical snuffbox after repetitive pushups. Preoperative dynamic ultrasonography and magnetic resonance imaging revealed the bifurcation of EPL tendons.
View Article and Find Full Text PDFJ Hand Surg Glob Online
November 2022
Department of Orthopedics and Traumatology, Hand Surgery, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Although rare, the thumb can trigger because of de Quervain disease. An 18-year-old woman presented with painful triggering during thumb movements. Physical examination revealed locking upon thumb extension and painful snapping upon thumb flexion, with tenderness over the first extensor compartment.
View Article and Find Full Text PDFJ Hand Surg Asian Pac Vol
April 2022
New York Hand & Wrist Center of Lenox Hill, New York, NY, USA.
The diagnosis of trigger finger (TF) in patients who do not demonstrate triggering at presentation can be challenging. We have been using a new test for TF - the Lenox Independent Flexion Test (LIFT). The aim of this study is to determine the sensitivity of LIFT in diagnosing TF.
View Article and Find Full Text PDFWorld J Clin Cases
June 2021
Department of Research, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 23142, Taiwan.
Background: A snapping wrist is a rare symptom that results from the sudden impingement of one anatomic structure against another, subsequently causing a sudden movement only during wrist movement.
Case Summary: A 30-year-old woman with a history of right wrist contusion reported right wrist snapping after overuse. The snapping became symptomatic after moving heavy objects.
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