Giant Cell Tumours Of Tendon Sheath (GCTTS) are the second most frequent soft tissue tumours affecting the hand with an overall incidence of 1 in 50,000 individuals. These tumours are usually localized and solitary, with multiple GCTTS occurring rarely. Multi-centric origin is considered unusual and very few cases of multiple GCTTS have been reported till date. Here, we report a rare case of a ...

We report a case of staged flexor tendon reconstruction using a silicon Hunter tendon rod implant. This implant is placed during the first stage of the two-stage procedure to facilitate formation of a pseudotendon sheath. The implant is removed and the tendon graft placed during the second stage of the procedure. Radiography after the first stage of the procedure assesses healing of concomitant...

BACKGROUND Tendon injuries are one of the most common injuries of the hand and challenging problems in trauma surgery. They usually require surgical repair and unlike the single tendon injuries, flexor tendon injuries have higher morbidities when accompanied with nerve injuries. In the present study, I aimed to report the clinical experiences and outcomes about tendon injuries. METHODS ...

OBJECTIVE Stenosing tenosynovitis of the thumb flexor tendon sheath is also known as trigger thumb. It is an inflammatory process that involves the flexor tendon sheath at the A1 pulley. Successful percutaneous or open treatment of trigger thumb depends on the ability of the clinician to properly predict the location of the A1 pulley. Longitudinal anatomic landmarks can facilitate safe treatmen...

The horseshoe abscess is a rare variant of flexor tendon sheath infections. It involves the tendon sheaths of the first and fifth digits, which communicate through the deep potential space of the wrist. Neural compression is possible, leading to an acute carpal tunnel syndrome. The approach to such patients should include empirical antibiotic coverage and urgent consultation with a hand surgeon...

To cite: Tan AL, Fukuba E, Halliday NA, et al. Ann Rheum Dis Published Online First: [please include Day Month Year] doi:10.1136/ annrheumdis-2014-205839 ABSTRACT Objective Dactylitis is a hallmark of psoriatic arthritis (PsA) where flexor tenosynovitis is common. This study explored the microanatomical basis of dactylitis using high-resolution MRI (hrMRI) to visualise the small entheses around...

OBJECTIVE Dactylitis is a hallmark of psoriatic arthritis (PsA) where flexor tenosynovitis is common. This study explored the microanatomical basis of dactylitis using high-resolution MRI (hrMRI) to visualise the small entheses around the digits. METHODS Twelve patients with psoriatic dactylitis (4 fingers, 8 toes), and 10 healthy volunteers (6 fingers, 4 toes) had hrMRI of the digits using a...

S tenosing flexor tenosynovitis (FTS), commonly known as “trigger finger,” is caused by a disproportion between the flexor tendon and its surrounding tendon sheath, in which smooth gliding of the flexor tendon within its sheath is restricted. First annular pulley is the most affected lesion. Intrasheath injection of triamcinolone is commonly used as an initial treatment. FTS has a reported inci...

To cite: Thiruvoth FM, Mohapatra DP, Chittoria RK, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207246 DESCRIPTION Open injuries or closed ruptures of tendons of the hand are seen in a variety of conditions. Prompt diagnosis for repair of these tendons is essential to achieve proper functional outcome. This necessitates early exploration and repair o...

Purpose: During volar plate fixation of distal radius fractures, we have encountered patients with an anomalous course the palmar cutaneous branch (PCB) median nerve within sheath flexor carpi radialis (FCR) tendon. The purpose this study was to assess frequency and location variations PCB FCR tendon.Methods: This retrospective enrolled 83 who underwent locking fixations through a modified Henr...