Giant cell tumour of tendon sheath masquerading as trigger finger.
We report a case of a 59-year-old female who presented in the general orthopaedic clinic with triggering of her right middle finger. She did not respond to conventional treatment methods; subsequently she underwent surgical open release under local anaesthesia. Five months postoperatively, the...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English English |
Published: |
Malaysian Orthopaedic Association
2010
|
Online Access: | http://psasir.upm.edu.my/id/eprint/24397/1/Giant%20cell%20tumour%20of%20tendon%20sheath%20masquerading%20as%20trigger%20finger.pdf |
Summary: | We report a case of a 59-year-old female who presented in
the general orthopaedic clinic with triggering of her right
middle finger. She did not respond to conventional treatment
methods; subsequently she underwent surgical open release
under local anaesthesia. Five months postoperatively, the
patient presented with signs and symptoms of acute flexor
tenosynovitis, and was thought to have a postoperative
infection. Re-examination by a hand surgeon raised the
possibility of a different aetiology. Based on clinical findings
and response to initial treatment, giant cell tumour of the
flexor tendon sheath was suspected and later confirmed
following surgical biopsy. A high index of suspicion and
knowledge of the variegated presentations of giant cell
tumour in the hand are beneficial in these types of cases.
|
---|