Sonographic Evaluation of Trigger Finger at the Wrist and Carpal Tunnel Syndrome Resulting From a Deep Soft Tissue Leiomyoma

Paluck, Mathew; Hager, Nelson A.; Gellhorn, Alfred

doi:10.7863/ultra.34.3.545

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…The articles were divided into case reports about DSTL of the lower extremities [ 3 , 4 , 7 , 8 , 10–16 ] ( Table 1 ), upper extremities [ 2 , 9 , 17–21 , 22 ] ( Table 2 ), other locations [ 23–33 ] ( Table 3 ) and case series [ 34–38 ] ( Table 4 ). In summary, of all publications found, the extremities were involved in 35 cases.…”

Section: Case Reportmentioning

confidence: 99%

Incidental deep soft tissue leiomyoma of the groin – a case report and comprehensive review of literature

Nessenius,

Zucal,

Allmann

et al. 2024

Journal of Surgical Case Reports

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Leiomyomas are rare, benign tumors arising from smooth muscle cells. Due to the heterogeneous anatomical locations, as well as clinical and radiological findings, early and correct diagnosis is usually tricky. The clinical symptoms depend on the anatomical structure the tumors are compromising by their growth. We present a case of a 53-year-old male patient who suffered from swelling of the right foot and ankle. Initially, arthritis and deep vein thrombosis were ruled out. As the swelling progressed to the entire leg, CT scan was performed showing a tumor compressing the right femoral vein. However, a magnetic resonance imaging (MRI) and a biopsy did not show any conclusive findings. Tumor excision was planned and immunohistochemical staining confirmed leiomyoma. The authors conclude that unspecific, progressive symptoms should prompt further investigation and whenever planning a biopsy, a possible malignant finding should be considered and excision of the biopsy canal together with the tumor must be assured.

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Section: Case Reportmentioning

confidence: 99%

Incidental deep soft tissue leiomyoma of the groin – a case report and comprehensive review of literature

Nessenius,

Zucal,

Allmann

et al. 2024

Journal of Surgical Case Reports

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“…In class A, several causative factors have been identified. The most common causes are benign tumors affecting the tendon, synovial tissue, and nerve sheath, namely ganglion, fibroma, lipoma, fibro lipoma, angiolipofibroma, leiomyoma, tenosynovitis and pigmented villonodular synovitis (PVNS) (70)(71)(72)(73)(74)(75)(76)(77)(78)(79). Class B in Suematsu's classification is due to anomalous muscle belly including an abnormal lumbrical muscle or abnormal muscle belly of the flexor digitorum superficialis (70).…”

Section: Aetiologymentioning

confidence: 99%

“…A simple radiograph of the wrist joint is needed to see any possible bony pathology such as malunion, instability or arthritis of the carpal bone (6,89). For soft tissue assessment, ultrasound under dynamic modality would allow the assessment of the triggering pathophysiology (78). MRI or ultrasound may be necessary to further assess the space-occupying lesion within the carpal tunnel and determine characteristics of the mass such as its extension and its possible origin.…”

Section: Physical Examination and Diagnosismentioning

confidence: 99%

“…Nerve conduction studies are indicated for patients with median nerve compression symptoms. Once this information is acquired, surgical intervention can be planned and successfully executed through adequate and complete excision (78).…”

Section: Physical Examination and Diagnosismentioning

confidence: 99%

“…Surgical treatment will depend on the causative factor. After radiological investigation to delineate the mass, surgery will be planned under general anesthesia (78). However, the advantage of doing the surgery under local anesthesia is that, during the surgery the patient can be asked to actively move the fingers or the wrist to confirm the resolution of the symptoms (100).…”

Section: Managementmentioning

confidence: 99%

See 2 more Smart Citations

Snapping of the Upper Limb: a Clinical Overview

Moscagiuri¹,

Frizziero²,

Bigliardi³

et al. 2022

Muscle Ligaments and Tendons J

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Snapping results from an abrupt displacement of an anatomic or pathologic structure during the movement of a closely related joint. Snaps are audible, palpable, and often, visible. Snapping phenomena are common within the general population and, in most cases, are associated with mild symptoms. However, especially in athletes, snapping could determine pain and functional impairment that may severely affect their sport activities. We focus on three major types of snapping occurring at specific joints of the upper limbs: the shoulder, the elbow, and the wrist. Here, we provide a comprehensive overview of major advances in the aetiology, pathophysiology, diagnostic imaging, and treatments of these specific snapping phenomena.

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