Hand and Wrist Tendinopathies

Patrick, Nathan; Hammert, Warren C.

doi:10.1016/j.csm.2019.10.004

Cited by 20 publications

(11 citation statements)

References 31 publications

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“…In humans, this tunnel also does not completely surround the tendon through its entire course; therefore, the flexor carpi radialis muscle lies in close contact with the shared joint capsule of the scaphotrapeziotrapezoid (STT) or triscaphe articulation, which may lead to the extension of disease from one compartment to the other [ 25 ]. Additionally, the anatomic characteristics of the tendon and the non-distensible nature of the tunnel are related to tendinitis [ 23 ] and stenotic tendinopathy [ 26 ], also known as the flexor carpi radialis tunnel syndrome [ 27 ], clinical conditions characterized by inflammation and pain. To our knowledge, there is no published information about these injuries in dogs.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the Palmar Region of the Carpus of the Dog

González-Rellán

Barreiro-Lois

Cifuentes

et al. 2022

Animals

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The palmar region of the canine carpus is anatomically complex, and the information found in the literature about its anatomy is inconsistent. The aims of this prospective, descriptive, anatomic study were (1) the clarification and (2) the description of the precise anatomic composition of the palmar region of the canine carpus, with special reference to the canalis carpi. For this study, 92 cadaveric specimens were obtained from 46 dogs that had died for reasons unrelated to this study. Of these, 43 medium-to-large-breed dogs were randomly selected for the dissection of transverse slices of the carpus. Samples of the flexor retinaculum and flexor carpi radialis tendon and surrounding tissues were taken for complementary histology. For additional histology of the palmar structures in their anatomical position, three small breed dogs were randomly selected for obtaining transverse slices. The anatomic characteristics of the components of the palmar region of the canine carpus were qualitatively described, with special attention to the following structures: flexor retinaculum, flexor carpi radialis muscle, arteria and vena mediana, nervus medianus, interflexorius muscle, flexor digitorum profundus muscle, canalis carpi, and arteria and nervus ulnaris. The findings from this study provide reference information about the anatomy of the palmar region of the canine carpus.

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Section: Discussionmentioning

confidence: 99%

Anatomy of the Palmar Region of the Carpus of the Dog

González-Rellán

Barreiro-Lois

Cifuentes

et al. 2022

Animals

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“…6 FCR tendonitis is a middle-aged condition which tends to affect the dominant hand, and known to be underdiagnosed despite the fact of high occurrence among sports and jobs with repetitive or overuse wrist activities. 1,2,7,8 The FCR tendon runs within its own tunnel through a groove in the trapezium, which is separated by the deep portion of the transverse carpal ligament from the carpal tunnel. 9 The FCR tendon then inserts to the base of the second metacarpal after it enters the fibro-osseous tunnel.…”

Section: Discussionmentioning

confidence: 99%

“…1 Repetitive flexion demanding sports at the wrist joint such as racquet, volleyball and basketball players showed an increased likelihood for this condition occurrence. 2 The diagnosis of FCR tendonitis is appreciated clinically based on presence of pain, erythema, warmth and swelling of the palmar side of the wrist. 3 Initial management may involve activity limitation which will enhance swelling and pain relief, occasionally, patients with persistent symptoms despite conservative treatment can have corticosteroid injection trials.…”

Section: Introductionmentioning

confidence: 99%

Non-surgical management of Trapezium canal syndrome an uncommon presentation of Flexor carpi radialis tenosynovitis

Ali¹,

Fehaid²

2022

MOJOR

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Flexor carpi radialis (FCR) tendonitis is described as an uncommon condition that is causing pain at the palmar aspect of the radial wrist. FCR tendonitis is a middle-aged condition which tends to affect the dominant hand. Patients with FCR tendonitis usually presents with pain and swelling over the palmar side of the radial wrist. Resistance against radial deviation of the wrist may illicit tenderness. FCR tendinitis can be diagnose clinically, however, radiographs MRI can help confirm the diagnosis. Management of FCR tendinitis includes physiotherapy, oral anti-inflammatory medication, steroid injection and surgical decompression. Surgical release showed a high rate of symptomatic satisfaction, and a reduced rate of recurrence.

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“… 7 , 8 Clinical presentation of FCR tenosynovitis involves pain over the volar radial wrist and at the center of the thenar eminence, swelling at the base of the thenar eminence and along the course of the tendon that is accentuated with flexion, and radial deviation of the wrist against resistance, especially with the abduction of the second and third fingers. 9 , 10 , 11 Radiographic examination can show morphological alteration at the scapho-trapezium-trapezoid joint with bone erosion and osteoarthritis. Computed tomography reconstructions may be used to achieve a 3-dimensional view of the osteofibrous canal.…”

Section: Clinical Presentationmentioning

confidence: 99%

Surgical Management of the Trapezium Canal Syndrome: An Uncommon Presentation of Tenosynovitis of Flexor Carpi Radialis

Poggi¹,

Massarella²,

Piccirilli

2022

Journal of Hand Surgery Global Online

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Flexor carpi radialis (FCR) tenosynovitis is a condition characterized by pain over the volar radial wrist caused by inflammation of the FCR tendon sheath. It is an uncommon and often unrecognized pathology that could be misleading from a diagnostic and therapeutic point of view. Treatment usually involves immobilization, nonsteroidal anti-inflammatory drugs, and injections. In refractory cases, operative release of the FCR tendon sheath may be indicated. In this article, we report our experience in treating FCR tenosynovitis by surgically decompressing the trapezium canal, through which the tendon runs, at the wrist. In our experience, this surgical technique allows a good functional recovery with the resolution of painful symptoms without notable complications.

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Hand and Wrist Tendinopathies

Cited by 20 publications

References 31 publications

Anatomy of the Palmar Region of the Carpus of the Dog

Anatomy of the Palmar Region of the Carpus of the Dog

Non-surgical management of Trapezium canal syndrome an uncommon presentation of Flexor carpi radialis tenosynovitis

Surgical Management of the Trapezium Canal Syndrome: An Uncommon Presentation of Tenosynovitis of Flexor Carpi Radialis

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