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Stenosing Tenosynovitis

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https://www.readbyqxmd.com/read/28538530/clinical-assessment-and-diagnostics-of-patients-with-hand-disorders-a-case-study-approach
#1
Mabel Qi He Leow, Rebecca Qian Ru Lim, Shian Chao Tay
Clinical assessment of the hand is important for diagnosing underlying hand disorders. Using a case study approach, the clinical assessment for three disorders of the hands is presented: trigger finger (stenosing tenosynovitis), carpal tunnel syndrome, and ulnar-sided wrist injury (styloid impingement). We assess the annular one pulley and finger range of motion for patients with trigger finger. To diagnose for carpal tunnel syndrome, assessment for Tinel's sign, Phalen's sign, abductor pollicis brevis muscle bulk, two-point discrimination, and obtaining a nerve conduction study are performed...
May 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/28443675/the-effect-of-trigger-finger-injection-site-on-injection-related-pain
#2
Yoseph A Rosenbaum, Nikki Benvenuti, Jingzhen Yang, Michael E Ruff, Hisham M Awan, Julie Balch Samora
BACKGROUND: Stenosing tenosynovitis, or trigger digit, is a common condition for which patients often seek relief. Corticosteroid injections have been shown to provide relief in many cases, and several different approaches for delivering the injection have been described in the literature. We compared patients' perception of pain following each of 3 accepted injection methods, namely, palmar proximal, palmar distal, and webspace approaches. METHODS: We prospectively followed 38 patients with 39 symptomatic digits in this trial, with varying severities of trigger finger as graded by the Patel and Moradia classification...
April 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28255483/stenosing-tenosynovitis-of-the-flexor-hallucis-longus-tendon-associated-with-the-plantar-capsular-accessory-ossicle-at-the-interphalangeal-joint-of-the-great-toe
#3
Song Ho Chang, Takumi Matsumoto, Masashi Naito, Sakae Tanaka
This report presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon associated with the plantar capsular accessory ossicle at the interphalangeal joint of the great toe, which was confirmed by intraoperative observation and was successfully treated with surgical resection of the ossicle. As the plantar capsular accessory ossicle was not visible radiographically due to the lack of ossification, ultrasonography was helpful for diagnosing this disorder.
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27843364/radial-extracorporeal-shockwave-therapy-for-the-treatment-of-finger-tenosynovitis-trigger-digit
#4
Nikos Malliaropoulos, Rosanna Jury, Debasish Pyne, Nat Padhiar, Jennifer Turner, Vasileios Korakakis, Maria Meke, Heinz Lohrer
INTRODUCTION: Stenosing tenosynovitis that is characterized by the inability to flex the digit smoothly, usually leads to prolonged rehabilitation or surgery. STUDY DESIGN: This case series is a retrospective cohort study. PURPOSE: The aim of this case series was to evaluate the effectiveness of radial extracorporeal shockwave therapy (rESWT) for the treatment of stenosing tenosynovitis of the digital flexor tendon (trigger digit). METHODS: A retrospective analysis of 44 patients (49 fingers) treated with an individually adapted rESWT protocol was conducted...
2016: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/27740459/modified-percutaneous-trigger-finger-release
#5
J-D Werthel, M Cortez, B T Elhassan
Stenosing tenosynovitis or trigger finger is one of the most common disorders that affect the flexor tendon apparatus of the hand. Percutaneous release has been previously reported to be easier, quicker, less invasive and less costly than open surgery. The purpose of this study was to report the outcome of an alternative percutaneous trigger finger release technique. From March 2008 to January 2014, 92 patients (128 fingers) who underwent the alternative percutaneous trigger finger release, with a minimum of 6 months follow-up were included...
June 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27693273/surgical-anatomy-of-the-first-extensor-compartment-a-systematic-review-and-comparison-of-normal-cadavers-vs-de-quervain-syndrome-patients
#6
REVIEW
Z-Hye Lee, J T Stranix, Lavinia Anzai, Sheel Sharma
PURPOSE: De Quervain syndrome or tenosynovitis is a common wrist pathology caused by stenosing tenosynovitis of the first dorsal compartment. Multiple studies have demonstrated significant anatomic variation within the first extensor compartment. METHODS: The terms "De Quervain's tenosynovitis" and "first extensor compartment anatomy" were comprehensively searched using the PubMed, MEDLINE, and Cochrane database. The presence of a septum within the first dorsal compartment, the number of APL (abductor pollicis longus), and EPB (extensor pollicis brevis) tendon slips were identified...
January 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27616827/stenosing-tenosynovitis-due-to-excessive-texting-in-an-adolescent-girl-a-case-report
#7
Jason D Johnson, Michael P Gaspar, Eon K Shin
We present a case report of stenosing tenosynovitis of the flexor pollicis longus tendon in an adolescent girl who required surgical release after failing conservative measures. The patient had no other risk factors, aside from her excessive texting, which we postulate led to her condition. Although there have been a few reports of tendinitis and tenosynovitis secondary to texting, we believe this is the first in the literature to report trigger thumb requiring surgical release in an adolescent.
April 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27485041/prevalence-of-hand-syndromes-among-patients-with-diabetes-mellitus-in-taiwan-a-population-based-study
#8
Wen-Hsuan Hou, Chung-Yi Li, Lu-Hsuan Chen, Liang-Yi Wang, Ken N Kuo, Hsiu-Nien Shen, Ming-Fong Chang
BACKGROUND: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. METHODS: The present study was a cross-sectional study based on a random sample of 57 093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD)...
June 2017: Journal of Diabetes
https://www.readbyqxmd.com/read/27483700/musculoskeletal-impairment-in-prymary-hypothyroidism
#9
REVIEW
Luliana Radu, Liliana Groppa, Lorina Vudu
This article contains bibliographical data concerning the rheumatic clinical manifestations in hypothyroidism: polyarthralgias, lack of recent skill of fine movements of the hands, carpal tunnel syndrome or tarsal, degenerative arthropathy or acute type (gout, chondrocalcinosis), adhesive capsulitis (frozen shoulder syndrome), generalized muscular stiffness, hypothyroid myopathy, secondary osteoarthritis, Dupuytren's contracture, "trigger finger" (also called as stenosing tenosynovitis or trigger thumb) etc...
April 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/27468668/ultrasound-guided-interventional-procedures-of-the-wrist-and-hand-anatomy-indications-and-techniques
#10
REVIEW
Sean W Colio, Jay Smith, Adam M Pourcho
Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27454633/assessment-of-the-accuracy-of-online-information-regarding-trigger-finger
#11
Richard M Hinds, Michael B Gottschalk, Raghuveer C Muppavarapu, Amish A Naik, S Steven Yang, John T Capo
BACKGROUND: Review of the recent literature suggests substantial use of the Internet by patients seeking health care information despite questionable accuracy and readability of information presented on some websites. The purpose of our study was to assess the accuracy, quality, and readability of online information regarding trigger finger. METHODS: Three terms ("trigger finger", "stenosing tenosynovitis", and "finger locking") were used to query three Internet search engines to evaluate websites regarding information about trigger finger...
June 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27305747/-stenosing-flexor-tenosynovitis-common-practice-of-family-physicians-orthopedic-and-hand-surgeons
#12
Oren Barzel, Ohad Avny, Danit Langer, Michael Chernofsky, Gil Almog, Shai Luria
BACKGROUND: The trigger finger is a common condition of the hand that is treated by family physicians, orthopedic and hand surgeons. The patients suffer from pain, triggering of the finger and may develop a flexion contracture of the finger, causing significant functional limitations. AIM: The objectives of this study were to evaluate factors involved in the diagnosis and treatment of this condition, as well as the differences in treatment between specialists. METHODS: The different specialists were asked to rate the importance of symptoms, examination and imaging studies regarding the decision to refer a patient for surgery as well as suggest the treatment of a hypothetical patient complaining of typical symptoms...
March 2016: Harefuah
https://www.readbyqxmd.com/read/27284509/arthroscopic-release-of-flexor-hallucis-longus-tendon-sheath-in-female-ballet-dancers-dynamic-pathology-surgical-technique-and-return-to-dancing-performance
#13
Hiroki Funasaki, Hiroteru Hayashi, Kanako Sakamoto, Rei Tsuruga, Keishi Marumo
Stenosing tenosynovitis of the flexor hallucis longus (FHL) tendon is known as a major overuse lesion in female dancers. We describe arthroscopic surgical techniques in relation to the dynamic pathology of the disease. Crepitus and pain on moving the great toe with the ankle in plantar flexion on preoperative examination confirm the diagnosis of FHL stenosing tenosynovitis even if the os trigonum is not evident. The ankle is approached through standard posterolateral and posteromedial portals. A 4.0-mm-diameter 30° arthroscope is used...
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26818290/management-of-stenosing-flexor-tenosynovitis-maximizing-nonoperative-success-without-increasing-morbidity
#14
Alyssa R Golas, Lauren R Marcus, Robert S Reiffel
BACKGROUND: Traditional nonoperative management of stenosing tenosynovitis is limited to one corticosteroid injection, followed by surgery in the case of failure. Recently, nonoperative strategies have been extended to include two or three injections despite the absence of large prospective studies supporting this practice. METHODS: A prospective study was performed of all patients presenting with stenosing tenosynovitis to a single surgeon (R.S.R.) over a 22-year period...
February 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26556342/the-estrogen-receptor-%C3%AE-expression-in-de-quervain-s-disease
#15
Po-Chuan Shen, Ping-Hui Wang, Po-Ting Wu, Kuo-Chen Wu, Jeng-Long Hsieh, I-Ming Jou
Stenosing tenosynovitis of the first dorsal compartment of the wrist (a.k.a. de Quervain's disease) is common but how estrogen is involved is still unknown. We previously reported that inflammation was involved in the pathogenesis of this ailment. In the present study, we extended our investigation of estrogen receptor (ER)-β expression to determine whether estrogen is involved in the pathogenesis of de Quervain's. Intraoperative retinaculum samples were collected from 16 patients with the ailment. Specimens were histologically graded by collagen structure and immunohistochemically evaluated by quantifying the expression of ER-β, interleukin (IL)-1β and IL-6 (inflammatory cytokines), cyclooxygenase (COX)-2 (an inflammatory enzyme), and vascular endothelial growth factor (VEGF), and Von Willebrand's factor (vWF)...
2015: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/26469895/risk-of-hand-syndromes-in-patients-with-diabetes-mellitus-a-population-based-cohort-study-in-taiwan
#16
Lu-Hsuan Chen, Chung-Yi Li, Li-Chieh Kuo, Liang-Yi Wang, Ken N Kuo, I-Ming Jou, Wen-Hsuan Hou
The aim of this study was to assess the overall and cause-specific incidences of diabetic hand syndromes (DHS) in patients with diabetes mellitus (DM) by using age and sex stratifications.The DM and control cohorts comprised 606,152 patients with DM and 609,970 age- and sex-matched subjects, respectively, who were followed up from 2000 to 2008. We estimated the incidence densities (IDs) of overall and cause-specific DHS, namely carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren disease (DD), and calculated the hazard ratios (HRs) of DHS in relation to DM by using a Cox proportional hazards model with adjustment for potential confounders...
October 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26410644/trigger-finger-adult-and-pediatric-treatment-strategies
#17
REVIEW
Juan M Giugale, John R Fowler
Trigger fingers are common tendinopathies representing a stenosing flexor tenosynovitis of the fingers. Adult trigger finger can be treated nonsurgically using activity modification, splinting, and/or corticosteroid injections. Surgical treatment options include percutaneous A1 pulley release and open A1 pulley release. Excision of a slip of the flexor digitorum superficialis is reserved for patients with persistent triggering despite A1 release or patients with persistent flexion contracture. Pediatric trigger thumb is treated with open A1 pulley release...
October 2015: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/26409593/disorders-of-the-flexor-hallucis-longus-and-os-trigonum
#18
REVIEW
Chamnanni Rungprai, Joshua N Tennant, Phinit Phisitkul
Os trigonum syndrome with disease of the flexor hallucis longus tendon, so-called stenosing flexor tenosynovitis, is a common cause of posterior ankle impingement. Conservative treatment is the recommended first line of treatment, with secondary treatment options of either open or arthroscopic os trigonum excision with flexor hallucis longus retinaculum release. The arthroscopic approaches have gained popularity in the past decade because of less scarring, less postoperative pain, minimal overall morbidity, and earlier return to activities...
October 2015: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/26209164/stenosing-flexor-tenosynovitis-validity-of-standard-assessment-tools-of-daily-functioning-and-quality-of-life
#19
Danit Langer, Shai Luria, Asnat Bar-Haim Erez, Michael Michailevich, Neta Rogev, Adina Maeir
STUDY DESIGN: Cross-sectional. INTRODUCTION: Stenosing flexor tenosynovitis (SFT) is a common hand disease, yet there is a lack of valid standard assessments for this population. PURPOSE OF THE STUDY: Validation of assessment for the evaluation of disability and quality of life related to SFT clinical severity. METHODS: Sixty five participants with SFT were matched to 71 controls. Participant's symptoms were graded using the Quinnell classification...
October 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/26060592/flexor-digitorum-accessorius-longus-importance-of-posterior-ankle-endoscopy
#20
Jorge Pablo Batista, Jorge Javier Del Vecchio, Pau Golanó, Jordi Vega
Endoscopy for the posterior region of the ankle through two portals is becoming more widespread for the treatment of a large number of conditions which used to be treated with open surgery years ago. The tendon of the flexor hallucis longus (FHL) travels along an osteofibrous tunnel between the posterolateral and posteromedial tubercles of the talus. Chronic inflammation of this tendon may lead to painful stenosing tenosynovitis. The aim of this report is to describe two cases depicting an accessory tendon which is an anatomical variation of the flexor hallucis longus in patients with posterior friction syndrome due to posterior ankle impingement and associated with a posteromedial osteochondral lesion of the talus...
2015: Case Reports in Orthopedics
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