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

Abstract

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.