Imai Shinji, Kodama Narihito, Matsusue Yoshitaka
Department of Orthopaedic Surgery, Shiga University of Medical Science, Shiga-ken, Japan.
Scand J Plast Reconstr Surg Hand Surg. 2008;42(6):328-30. doi: 10.1080/02844310701282104.
Triggering of the flexor tendon at the wrist is rare. We report a case of intrasynovial lipoma that caused a trigger wrist. As far as we know it is unique in that the intrasynovial lipoma simultaneously caused carpal tunnel syndrome. The massive tenosynovitis and adhesion of flexors tendons after the locking of the intrasynovial lipoma may have resulted from inflammation caused by attrition within the carpal tunnel.
腕部屈肌腱触发症较为罕见。我们报告一例导致腕部触发症的滑膜内脂肪瘤病例。据我们所知,该滑膜内脂肪瘤同时引发腕管综合征,这一点很独特。滑膜内脂肪瘤卡顿后出现的大量腱鞘炎和屈肌腱粘连可能是由腕管内磨损引起的炎症所致。