Lesions of the Flexor Carpi Radialis Tendon and Sheath Causing Pain at the Wrist

Abstract

1. Pain at the front of the radial side of the wrist may be caused by various lesions of the tendon and sheath of the flexor carpi radialis tendon. 2. The diagnosis may be established by testing resisted movement at the wrist and by the effect of injecting local anaesthetic into the tendon sheath. 3. In women over the age of fifty the lesion is associated with osteoarthritis of the joint between the scaphoid and the trapezium. 4. Osteoarthritis of the joint between the scaphoid and the trapezium is found in about 25 per cent of women over the age of fifty. 5. If the pain is not relieved by simple conservative measures it can usually be cured by incision of the tendon sheath. 6. The histological changes in the tendon sheath are similar to those found in tenovaginitis of the abductor pollicis longus and tibialis posterior tendons.

Symptomatic Flexor Carpi Radialis Brevis: Case Report

“…6,7 However, this condition cannot explain why the patient had pain on passive extension of the wrist.…”

Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases

“…Anatomical studies have shown that the FRC tendon passes near the volar surfaces of the scaphoid and trapezium in an osteofibrous groove [30,31]. Adhesion of the FCR tendon to residual bone fragments after the surgery may be the source of the tendinopathy [32].…”

Flexor carpi radialis tendinitis caused by malunited trapezial ridge fracture in a professional baseball player

“…Prognosis is good, and there are very few reports of recurrence after surgery. 2,4,7 Pain in the radiopalmar aspect of the wrist is a common complaint; however, flexor carpi radialis tendinitis is not widely recognized as a cause of this symptom. A lack of clinical suspicion commonly results in delayed diagnosis and treatment.…”