Cases reported "Tenosynovitis"

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1/25. A case of recurrent trigger thumb.

    In this report we present a case of recurrent trigger thumb after surgical release. A 3-year-old girl underwent surgical release of the first annular pulley at another institution. The resected first annular pulley had been confirmed by pathologic analysis. After surgery the triggering and locking recurred, and she developed limited function due to persistent pain. The second operative release revealed a fibrous band in the region of the previous first annular pulley and a thickened flexor tendon sheath.
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ranking = 1
keywords = operative
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2/25. Ultrasonographic examination of de Quervain's disease.

    In order to assess the usefulness of ultrasonography in the preoperative evaluation of de Quervain's disease, we retrospectively analyzed the ultrasonographic findings in 32 patients, and compared these findings with operative findings. ultrasonography identified a septum between the abductor pollicis longus and extensor pollicis brevis tendons in 26 patients and showed absence of the septum in 6 patients. During surgery, the presence of the septum was confirmed in 27 patients, and was absent in 5. Our results demonstrated the usefulness of preoperative ultrasonography in correctly detecting anatomic abnormalities in patients with de Quervain's disease.
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ranking = 3
keywords = operative
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3/25. posterior tibial tendon dysfunction and MR imaging in rheumatoid arthritis.

    We present the case of a patient with long-standing rheumatoid arthritis and an acute onset of total dysfunction of the posterior tibial tendon. On MRI, a rupture of the tendon was apparent. Intraoperatively, however, massive tenosynovitis with stricture of the tendon was identified as the cause of posterior tibial tendon dysfunction. This case illustrates a pitfall in MRI imaging with potential diagnostic and therapeutic consequences.
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ranking = 1
keywords = operative
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4/25. Stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area.

    The author presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon at the sesamoid area of the great toe following injury of the hallux. Although stenosing tenosynovitis of the flexor hallucis longus tendon is not rare, occurring frequently in ballet dancers, its entrapment at the sesamoid area was rarely described in the literature. Early recognition of this condition is very important for successful treatment. This patient did not respond to nonoperative treatment and surgical tenolysis was very successful for relief of the symptoms.
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ranking = 1
keywords = operative
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5/25. Tuberculous tenosynovitis of the tibialis anterior tendon: a case report.

    Tuberculous tenosynovitis is an uncommon form of extrapulmonary tuberculosis occurring primarily in the hands and wrists with limited reports involving the lower extremities. We report a rare case of tuberculous tenosynovitis of the tibialis anterior tendon occurring in a 37-year-old Filipino male. The tendon was surgically debrided and the patient was given a six month course of antituberculin chemotherapy. At one year postoperatively, the patient has good function with no evidence of recurrence.
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ranking = 1
keywords = operative
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6/25. Tibialis anterior tenosynovitis: Avoiding extensor retinaculum damage during endoscopic debridement.

    Tibialis anterior tenosynovitis is a rare orthopaedic condition that usually resolves with conservative treatment. Surgery may be required for chronic cases and endoscopy seems to be a valid therapeutic alternative. During debridement of the hypertrophic synovium, care must be taken to avoid damaging the extensor retinaculum to prevent potential postoperative bowstring phenomenon of the tendon.
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ranking = 1
keywords = operative
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7/25. Flexor carpi radialis tendon rupture following chronic wrist osteoarthritis: a case report.

    A patient is reported with a history of multiple tendon ruptures including biceps, flexor hallucis longus and achilles tendons. He presented with closed rupture of the flexor carpi radialis tendon following long standing tendonopathy and scapho-trapezio-trapezoid arthrosis. Non-operative treatment was elected because of low physical demands on the upper extremity. Early management of scapho-trapezio-trapezoid arthritis can prevent flexor carpi radialis tendon rupture.
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ranking = 1
keywords = operative
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8/25. Recurrent extensor tendon rupture in adult-onset dermatomyositis: a case report.

    We report on a case in which recurrent extensor tendon rupture was caused by tenosynovitis without skin ulcer and calcinosis in adult-onset dermatomyositis involving the hand. Proliferative tenosynovitis of the extensor tendons led to recurrent elongation or rupture of the extensor tendons, and tendon graft produced the good postoperative result in this case.
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ranking = 1
keywords = operative
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9/25. role of toe flexor tendoscopy in management of an unusual cause of metatarsalgia.

    The purpose of this study is to describe an endoscopic approach to toe flexor tendons at the level of metatarsal head region. And this study is a kind of retrospective case series. Three patients with toe flexor tenosynovitis were evaluated after a follow-up of 2 years after toe flexor tendoscopy. One patient suffered from infective toe flexor tendosynovitis resulting from a penetrating injury and other two patients suffered from idiopathic focal toe flexor tenosynovitis. Pre-operative metatarsalgia subsided after toe flexor tendoscopy. No endoscopy-related complication was observed. Toe flexor tendoscopy can be an effective operative means in the management of focal toe flexor tenosynovitis.
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ranking = 2
keywords = operative
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10/25. Single side hole irrigation--a simple method of catheter irrigation of the tendon sheath.

    Treatment of septic flexor tenosynovitis at the hand requires significant hospital resources in terms of operative time and subsequent management of tendon irrigation. Delayed recovery or treatment failure may require re-irrigation and drainage. This may be due to failure to adequately irrigate the entire flexor sheath. We describe a method of closed tendon sheath irrigation which is simple to use and ensures that the complete tendon sheath is adequately irrigated. Unwieldy continuous irrigation is avoided and patient inconvenience is kept to a minimum.
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ranking = 1
keywords = operative
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