Tenosynovitis of the Extensor Carpi Ulnaris Tendon Sheath

Dickson, Douglas D.; Luckey, Clarence A.

doi:10.2106/00004623-194830040-00011

Cited by 17 publications

(4 citation statements)

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“…Most ECU tenosynovitis can be successfully treated non-operatively with proper medical treatment, immobilization techniques, equipment modification, proper conditioning and alteration of athletic techniques or habits (Dickson and Luckey, 1948; Futami and Itoman, 1995; Lapidus and Fenton, 1952; Wood and Dobyns, 1986). However, cases requiring surgical treatment must be promptly recognized because they may result in chronic discomfort or permanent disability (Crimmins and Jones, 1995; Osterman et al, 1988).…”

Section: Introductionmentioning

confidence: 99%

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Allende

Viet

2005

Journal of Hand Surgery

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Twenty-eight extensor carpi ulnaris lesions at the wrist were treated surgically between 1990 and 2002. Fifteen patients had an isolated extensor carpi ulnaris tenosynovitis or tendinopathy, five had extensor carpi ulnaris dislocation, four had an extensor carpi ulnaris subluxation and four had an extensor carpi ulnaris rupture. Seventeen patients first developed their symptoms while playing sports. At a mean follow-up of 23 months, twenty-two patients had returned to their previous activities. Seven of the 27 patients had lost more than 30% of their grip strength and five had restricted wrist motion. Two needed an extensor carpi ulnaris tenolysis. Pure isolated extensor carpi ulnaris lesions are rare and associated ulnar sided lesions (eleven triangular fibrocartilage complex tears and four lunotriquetral ligament tears), as well as possible predisposing factors (seven anomalous tendon slips, four ulnar styloid non-unions and one flat extensor carpi ulnaris tendon groove), were frequent. A classification of extensor carpi ulnaris tendon and subsheath lesions was developed to allow the surgeon to adequately evaluate the different components of these lesions.

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Section: Introductionmentioning

confidence: 99%

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Allende

Viet

2005

Journal of Hand Surgery

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“…With regard to the frequency and onset risk of stenosing tenosynovitis of the ECU, the opinions were divided among previous authors. Some authors suggested that it was uncommon and usually posttraumatic, 1 , 4 and others suggested that it was relatively common and caused by repetitive overuse 3 , 9 . The history may include a new activity or a change in an existing activity in which the mechanical use of the hand and wrist has been altered 21 .…”

Section: Discussionmentioning

confidence: 99%

“…With regard to the ECU, various disorders has been described in previous literature, including stenosing tenosynovitis, degenerative tendinosis, tendonitis, bony erosion of the floor of the sixth compartment, and tendon subluxation, [1][2][3][4][5][6][7][8][9] and some of them might coexist. The ECU synergy test was recently described by Ruland and Hogan 10 in an attempt to separate ECU tendonitis from other intraarticular disorders.…”

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confidence: 99%

Diagnostic Performance of the Extensor Carpi Ulnaris (ECU) Synergy Test to Detect Sonographic ECU Abnormalities in Chronic Dorsal Ulnar‐Sided Wrist Pain

Sato

Ishii

Noguchi

2016

J of Ultrasound Medicine

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“…15,27,43 Pain can be exacerbated by activities,23 particularly against resistance. 57 The persistent nature of the pain and its increasing severity following movement results in considerable functional disability.13,54,S8 Lanfear and Clarke 43 described this as weakness in gripping power and inability to lift and pull, in which even the use of scissors or a pen becomes a painful task. Miller and Keane/ reported that pain in the hand has a marked effect in reducing grip and functional ability, although this depends upon the subject's threshold for pain.…”

Section: Painmentioning

confidence: 99%

Tenosynovitis of Hand and Wrist: A Literature Review

Chandani

1986

British Journal of Occupational Therapy

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This literature review of tenosynovitis of hand and wrist concentrates on the definition of tenosynovitis, aetiology and causative factors, site of occurrence, general methods of treatment and specific occupational therapy procedures. Despite extensive research into tenosynovitis, very little is yet known about causative factors. There also continues to be much controversy surrounding how to use splinting and the usefulness of rest in the treatment of tenosynovitis. On the basis of descriptive studies it can be said that tenosynovitis mostly affects the wrist and hand and more commonly the extensor tendon of the right/dominant hand. It is suggested that tenosynovitis occurs more commonly in females and the peak incidence is in the 35-40 years age group. Common opinions regarding causative factors are work related, infections and manifestations of diseases, Treatment of tenosynovitis mostly lies in rest and splinting and some suggest that electrotherapy and diathermy may help, If conservative treatment fails, many advocate surgery.

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Tenosynovitis of the Extensor Carpi Ulnaris Tendon Sheath

Cited by 17 publications

References 0 publications

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Diagnostic Performance of the Extensor Carpi Ulnaris (ECU) Synergy Test to Detect Sonographic ECU Abnormalities in Chronic Dorsal Ulnar‐Sided Wrist Pain

Tenosynovitis of Hand and Wrist: A Literature Review

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