Multiple etiologies of trigger wrist

Park, Il-Jung; Lee, Yoon-Min; Kim, Hyoung-Min; Lee, Jae-Young; Roh, Youn-Tae; Park, Chang-Kyun; Kang, Soo‐Hwan

doi:10.1016/j.bjps.2015.10.030

Cited by 16 publications

(28 citation statements)

References 16 publications

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“…The carpal tunnel was released in all cases of the present series that were associated with CTS. The disappearance of triggering has been demonstrated in all the reports after surgical treatment [2,6,10]. Similarly, the symptoms were resolved in all patients of the present series following the surgical intervention.…”

Section: Discussionsupporting

confidence: 81%

“…A combination of factors was the underlying cause of disorder in the remain-ing cases. A mild to moderate median nerve neuropathy without the atrophy of thenar muscle was seen in all patients of their series [2]. Unlike the study of Park et al, no anomalous muscle belly was detected as the cause of trigger wrist in the current series.…”

Section: Discussioncontrasting

confidence: 72%

“…In contrast to the trigger finger, the "trigger wrist" is a relatively rare condition that refers to the painful clicking and snapping, as well as catching sensation at the wrist level during finger or wrist movements. 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%

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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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Section: Discussionsupporting

confidence: 81%

Section: Discussioncontrasting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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Trigger Wrist: A Case Series Study

Nasab

Haghbin

Kooshesh

et al. 2019

J. Res. Orthop. Sci.

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“…In addition to carpal tunnel syndrome, another disorder in which aberrant muscle belly may be a contributing mechanism is trigger wrist. [23][24][25] In rare cases, trigger wrist secondary to aberrant muscle may even present with carpal tunnel syndrome. 24,26 Clinical presentations of trigger wrist include painful clicking, snapping, or catching sensation around the carpal tunnel during finger or wrist motion; in severe cases, wrist and finger motion may be limited by a triggering or locking of the joints.…”

Section: Discussionmentioning

confidence: 99%

Identification of Aberrant Muscle Bellies in the Carpal Tunnel Using Sonography

Takata

Roll

2018

Journal of Diagnostic Medical Sonography

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Musculoskeletal sonography is being widely used for evaluation of structures within the carpal tunnel. While some anatomical variants, such as bifurcated median nerves and persistent median arteries, have been well documented, limited literature describes the sonographic appearance of aberrant muscle bellies within the carpal tunnel. Multiple examples of the sonographic appearance of flexor digitorum superficialis and lumbrical muscle bellies extending into the carpal tunnel are provided. Techniques for static image acquisition and analysis are discussed, and the use of dynamic imaging to confirm which specific muscle belly is involved is described. Knowledge of the potential presence of muscle bellies in these images and ability to identify these structures is vital to avoid misclassification or misdiagnosis as abnormal pathology. The case examples are situated among current published evidence regarding how such anomalies may be related to the development of pathologies, such as carpal tunnel syndrome.

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“…About one-third of the cases present with tenderness and mild pain due to compression of the nerves underlying fibroma of tendon sheath [ 2 ]. Fibroma of tendon sheath has also been reported to cause a “trigger wrist” [ 6 – 8 ], an impingement of the tumor adhering to the flexor tendons in the carpal canal, resulting in snapping finger or carpal tunnel syndrome. However, there have been few reports of the tumor causing complete flexion limitation of the finger.…”

Section: Introductionmentioning

confidence: 99%

Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers

Maeda¹,

Setsu²,

Kato

et al. 2017

Case Reports in Orthopedics

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A 35-year-old Japanese man presented with a 1-month history of limited flexion and radiating pain in the left middle and ring fingers. A physical examination revealed a hard nodular mass in his left palm. Magnetic resonance imaging showed a 2 × 1.5 × 1 cm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. The tumor was marginally resected, adhering to the flexor digitorum profundus of both the third and fourth fingers. The histological diagnosis was fibroma of tendon sheath. After the surgery, the range of motion and hand function were improved. No recurrence has been observed. Fibroma of tendon sheath usually arises on the fingers and hands with strong attachment to the tendon or tendon sheath. The tumor in the present case probably limited the range of flexion of the fingers by obstruction of the transverse carpal ligament.

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Multiple etiologies of trigger wrist

Cited by 16 publications

References 16 publications

Trigger Wrist: A Case Series Study

Trigger Wrist: A Case Series Study

Identification of Aberrant Muscle Bellies in the Carpal Tunnel Using Sonography

Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers

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