2012
DOI: 10.1016/j.jus.2012.02.002
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Stenosing tenosynovitis

Abstract: Tenosynovitis refers to an inflammatory condition involving the synovial sheath of a tendon. Stenosing tenosynovitis is a peculiar entity caused by multiple factors, including local anatomy, mechanical factors, and hormonal factors. The main forms include de Quervain tendinopathy; trigger finger (stenosing tenosynovitis involving the flexor digitorum tendons); stenosing tenosynovitis of the extensor carpi ulnaris, extensor carpi radialis, or extensor comunis tendons; stenosing tenosynovitis of the flexor hallu… Show more

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Cited by 51 publications
(51 citation statements)
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“…Ultrasonography (US) and MR imaging may demonstrate hypertrophy of the retinaculum that covers the first dorsal compartment of the wrist, thickening of the tendon sheath, hypertrophy and heterogeneous appearance of the tendons, and adjacent inflammatory changes (32,33). The presence of a septum that divides the first compartment into two subcompartments should be analyzed (Fig E2 [online]), as it may lead to the failure of cortisone-derivative infiltration (34).…”
Section: Tendinous Disordersmentioning
confidence: 99%
“…Ultrasonography (US) and MR imaging may demonstrate hypertrophy of the retinaculum that covers the first dorsal compartment of the wrist, thickening of the tendon sheath, hypertrophy and heterogeneous appearance of the tendons, and adjacent inflammatory changes (32,33). The presence of a septum that divides the first compartment into two subcompartments should be analyzed (Fig E2 [online]), as it may lead to the failure of cortisone-derivative infiltration (34).…”
Section: Tendinous Disordersmentioning
confidence: 99%
“…However, increasingly, high-resolution US imaging is being used to complement the clinical assessment in the diagnosis and management of trigger fingers. It allows the direct visualization of the A1 pulley-flexor tendon complex in cases of flexor tendon involvement [6,[9][10][11]. US can show combination of findings including thickening, hypoechogenecity and hyper-vascularization of A1 pulley that overlies the metacarpal heads, alteration in echotexture of the flexor tendons that pass through the digital tunnel and synovial sheath effusion around the tendons [6,[9][10][11].…”
Section: Discussionmentioning
confidence: 99%
“…Recently, high-resolution sonography has allowed noninvasive visualization of the pulley and tendons and some studies have examined causes of trigger finger sonographically [2][3][4][5][6][7][8]. Those investigations have shown sonographic findings, such as thickening of the A1 pulley or flexor tendon, peritendinous effusion, and irregular echotexture of the flexor tendon, in trigger fingers.…”
Section: Introductionmentioning
confidence: 99%