We present a case report of a triple location Giant Cell Tumor of tendon sheath appearance on the same flexor tendon sheath of a single digit. There have been scarce descriptions of multiple Giant Cell Tumors of tendon sheath. Multiple tumors may predispose patients to a higher recurrence rate; therefore, recognition and treatment of this rare entity is important.
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Plast Reconstr Surg Glob Open
January 2025
From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.
Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the hand's flexor tendon sheath that necessitates timely diagnosis and treatment. The treatment consists of antibiotic therapy often combined with prompt surgical treatment. The most common surgical approach is the closed irrigation technique, which involves inserting a 16-gauge angiocatheter in the proximal aspect of the flexor tendon sheath, leaving the distal end of the Brunner incision open during the irrigation process.
View Article and Find Full Text PDFHead Neck Pathol
January 2025
Department of Pathology and Laboratory Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Purpose: Recurrent diffuse-type tenosynovial giant cell tumor: Clinical presentation, Diagnosis, and Management.
Background: Tenosynovial giant cell tumor (TGCT), is a neoplasm arising from synovial joints, bursae, or tendon sheaths. The initial clinical symptoms are vague and non-diagnostic.
Radiol Case Rep
March 2025
First Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece.
Diffuse-type giant cell tumor of the tendon sheath (GCTTS) is a rare, benign, yet locally aggressive soft tissue tumor commonly affecting the hand. This case report presents a 55-year-old male with a 5-year history of GCTTS in the flexor tendon sheath of the long finger. MRI played a critical role in both diagnosis and surgical planning, revealing key features such as the tumor's 10 cm length, hemosiderin deposition, and blooming artifacts.
View Article and Find Full Text PDFJBJS Case Connect
October 2024
Department of Orthopaedic Surgery, The University of Tokyo Hospital, Bunkyo-ku, Tokyo, Japan.
Case: An 18-year-old woman presented with shoulder pain that had persisted for a year. The magnetic resonance imaging showed a solitary lesion in the subacromial bursa (SAB). Arthroscopy revealed an ovoid mass connected to the bursal wall with thin synovial tissue that was excised en bloc arthroscopically.
View Article and Find Full Text PDFArthrosc Tech
December 2024
Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Sha Tin, China.
In intrasheath peroneal tendon subluxation, the peroneal tendons subluxate on each other within the retrofibular peroneal tendon sheath. Two subtypes can be distinguished: type A, in which the tendons are normal, and type B, in which the peroneus brevis tendon has an associated longitudinal split and the peroneus longus tendon subluxates through this tendon split. The purpose of this technical note is to describe the details of endoscopic retrofibular groove deepening for management of type A intrasheath peroneal tendon subluxation.
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