Flexor carpi ulnaris tendinopathy

Budoff, Jeffrey E.; Kraushaar, Barry S.; Ayala, Gustavo

doi:10.1016/j.jhsa.2004.07.018

Cited by 33 publications

(22 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tendinosis lesions are characterized by increased numbers of fibroblasts and vascular cells (endothelial and smooth muscle cells) and abnormal extracellular matrix [9,21,46]. An increased prominence of tenocytes demonstrating proliferating cell nuclear antigen (PCNA) has been reported in patellar and supraspinatus tendinopathies, demonstrating proliferation of intrinsic cellularity may be an ongoing phenomenon in chronic injuries [26,36].…”

Section: Discussionmentioning

confidence: 99%

VEGF Expression in Patellar Tendinopathy: A Preliminary Study

Scott

Lian

Bahr

et al. 2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Vascular function and angiogenesis are regulated by vascular endothelial growth factor-A (VEGF). The purpose of this preliminary study was to address the following questions: Is VEGF expression in the patellar tendon more prevalent in patients with patellar tendinopathy than in individuals with normal, pain-free patellar tendons? Which cell populations express VEGF in normal and tendinopathic tendon? Is there a difference in symptom duration between VEGF+ and VEGF- tendons? We collected patellar tendon tissue from 22 patients undergoing open débridement of the patellar tendon and from 10 patients undergoing intramedullary nailing of the tibia. VEGF expression was assessed immunohistochemically. Relevant inflammatory and repair cell types were immunolabeled. VEGF expression was absent from control tendons, but was present in a subset of patients with histopathological evidence of angiofibroblastic tendinosis. VEGF was expressed in the intimal layer of tendon vessels, but was absent in other cell types. Patients demonstrating VEGF expression in the patellar tendon had a shorter symptom duration (12 +/- 7.8 months) than patients with no detectable VEGF (32.8 +/- 23.5 months). VEGF may contribute to the vascular hyperplasia that is a cardinal feature of symptomatic tendinosis, particularly in cases with more recent onset.

show abstract

Section: Discussionmentioning

confidence: 99%

VEGF Expression in Patellar Tendinopathy: A Preliminary Study

Scott

Lian

Bahr

et al. 2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…An important aspect of the FCU is its lack of a sheath [67]. Therefore, pain and palpable tenderness along the course of the FCU indicate FCU tendinitis that may be associated with repetitive forceful ulnar deviation that often appears without an obvious event [61].…”

Section: Clinical Imagingmentioning

confidence: 99%

Ulnar-sided wrist pain. II. Clinical imaging and treatment

et al. 2009

View full text Add to dashboard Cite

Pain at the ulnar aspect of the wrist is a diagnostic challenge for hand surgeons and radiologists due to the small and complex anatomical structures involved. In this article, imaging modalities including radiography, arthrography, ultrasound (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography are compared with regard to differential diagnosis. Clinical imaging findings are reviewed for a more comprehensive understanding of this disorder. Treatments for the common diseases that cause the ulnar-sided wrist pain including extensor carpi ulnaris (ECU) tendonitis, flexor carpi ulnaris (FCU) tendonitis, pisotriquetral arthritis, triangular fibrocartilage complex (TFCC) lesions, ulnar impaction, lunotriquetral (LT) instability, and distal radioulnar joint (DRUJ) instability are reviewed.

show abstract

“…Intrasubstance tendon degeneration was found in 6 patients who failed conservative treatment of FCU symptoms, similar to that seen in other extrasynovial tendon disorders such as epicondylitis. 12 This finding has not been described in other anatomic locations about the wrist and hand where the tendons are confined in tunnels and synovial sheaths. The authors suggest this type of degenerative tendinopathy might be better treated by strengthening and stretching than by modalities aimed at inflammation.…”

Section: Flexor Carpi Ulnarismentioning

confidence: 80%

“…Another recent report described the histopathologic findings in 6 patients who failed conservative treatment for flexor carpi ulnaris (FCU) symptoms as being similar to the angiofibroplastic hyperplasia that is seen in other extrasynovial degenerative tendinopathies such as epicondylitis. 12 Acute inflammatory cells were not encountered, and macrophages and lymphocytes were absent or seen only rarely.…”

Section: Pathophysiologymentioning

confidence: 99%

Tendon Disorders of the Hand and Wrist

McAuliffe

2010

The Journal of Hand Surgery

View full text Add to dashboard Cite

Flexor carpi ulnaris tendinopathy

Cited by 33 publications

References 23 publications

VEGF Expression in Patellar Tendinopathy: A Preliminary Study

VEGF Expression in Patellar Tendinopathy: A Preliminary Study

Ulnar-sided wrist pain. II. Clinical imaging and treatment

Tendon Disorders of the Hand and Wrist

Contact Info

Product

Resources

About