Trigger Wrist and Carpal tunnel syndrome caused by a flexor tendon-related ganglion in a teenager: A case report

Al‐Qattan, Mohammad M.; Elshamma, Nourhan A.; Alqabbani, Almaha A.

doi:10.1016/j.ijscr.2016.11.051

Cited by 5 publications

(5 citation statements)

References 11 publications

(41 reference statements)

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“…It is based on etiological factors. Various authors report that this classification is not informative enough [ 2 , 3 , 6 , 7 ]. Al-Qattan et al (Table 2 ) [ 3 ] offered an extended classification.…”

Section: Discussionmentioning

confidence: 99%

“…Various authors report that this classification is not informative enough [ 2 , 3 , 6 , 7 ]. Al-Qattan et al (Table 2 ) [ 3 ] offered an extended classification. The reported case is classified as type A, which is the most common type of trigger wrist [ 1 – 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Al-Qattan et al (Table 2 ) [ 3 ] offered an extended classification. The reported case is classified as type A, which is the most common type of trigger wrist [ 1 – 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, if trigger finger caused by stenosing tenosynovitis is mistaken for trigger wrist, then this can lead to an unnecessary release of the carpal tunnel, which introduces the risk of damaging its structures and development of adhesions [ 4 , 8 ]. The adhesions within the carpal tunnel can be an etiology of trigger wrist type E by Al-Qattan et al [ 3 ]. Another reason for the development of the adhesions is rheumatoid arthritis [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Complex trigger wrist associated with carpal tunnel syndrome: a case report

et al. 2022

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Background There are few reports of trigger wrist in the literature, as it is a rare pathology. Furthermore, various authors report that it is also hard to diagnose. It manifests with neurological symptoms at the affected wrist, which are usually induced by wrist movement, and can lead to partial or full loss of wrist function and sensitivity. The reason for reporting this specific case is that it was hard to differentiate between trigger finger and trigger wrist by clinical symptoms; no pathology was palpable or clearly seen on magnetic resonance imaging scan of the wrist. We propose a new diagnostic statement relative to this pathology. Case presentation A case of a 45-year-old white slavic man with trigger wrist associated with carpal tunnel syndrome, caused by a fibroma of the flexor tendon sheath, is reported. Despite careful clinical examination, it was not possible to differentiate between trigger finger and trigger wrist. Magnetic resonance imaging was performed to arrive at the right diagnosis but did not reveal any pathology in the wrist area. Carpal tunnel release was performed with a fibroma identified and excised. Wrist function was maintained well; no signs of carpal tunnel syndrome were seen at last follow-up. Conclusions Trigger wrist can be misdiagnosed as trigger finger even if adequate clinical evaluation is performed, and this can lead to inadequate treatment. We state that, when clinical symptoms of both trigger wrist and trigger finger are present, except painful palpation of the A-1 pulley region, the case should be referred to as trigger wrist.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Al-Qattan et al (Table 2 ) [ 3 ] offered an extended classification. The reported case is classified as type A, which is the most common type of trigger wrist [ 1 – 3 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Complex trigger wrist associated with carpal tunnel syndrome: a case report

et al. 2022

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“…It is T also known as "snapping wrist" or "clicking wrist" [2]. Trigger wrist usually occurs in adults, and it is scarce in children or teenagers [3].…”

Section: Introductionmentioning

confidence: 99%

Trigger Wrist: A Case Series Study

Nasab

Haghbin

Kooshesh

et al. 2019

J. Res. Orthop. Sci.

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Background: Trigger wrist is a relatively rare hand disorder that refers to the painful snapping and clicking or triggering at the wrist level during finger or wrist movements. Objectives: In this study, we aimed at reporting a series of trigger wrist and discussing their etiology, as well as their clinical manifestation and outcomes. Methods: In this retrospective study, the patients with the definitive diagnosis of trigger wrist were reviewed. Their demographics and clinical symptoms were extracted from their medical records. The symptoms of median neuropathy, including weakness or atrophy of the thenar muscles, persistent numbness, and paresthesia were recorded to investigate the association with Carpal Tunnel Syndrome (CTS). Results: A total of seven patients with the Mean±SD age of 35.5±10.3 years were included in the study. A benign mass was the etiology of trigger wrist in all cases, with giant cell tumor of flexor tendon sheet as the most common etiology (57.1%). Trigger wrist was associated with CTS in three cases (42.8%), in all of whom the tumor size was larger than the average. Pain and snapping with or without palpable mass were the main clinical symptoms of the patients that completely disappeared by surgical removal of the lesion. A mean 40.3 months follow-up of the patients was uneventful. Conclusion: Benign neoplasms could be considered as the most common etiology of trigger wrist. Since many patients with trigger wrist might have CTS, too, the careful differentiation of these entities is necessary. Once accurately diagnosed, surgical intervention is entirely curative.

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