Luenam Suriya, Kosiyatrakul Arkaphat, Neti Arbrit
Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, 315 Ratchawithi Road, Bangkok 10400, Thailand.
Musculoskelet Surg. 2011 Dec;95(3):241-4. doi: 10.1007/s12306-011-0107-x. Epub 2011 Mar 4.
Triggering in association with movements of the wrist or "true trigger wrist" due to the extensor tendon is rare. There are only few case reports in literature, but none were associated with the acute partial tendon rupture. We present a case of true trigger wrist originating from partial rupture of extensor carpi radialis brevis tendon (ECRB). In contrast to the other reports, the interval between an initial injury and development of triggering was short because the partial tendon rupture was bunching and forming a nodule. The triggering was attributed to the snapping of the nodule under the extensor pollicis longus tendon (EPL).
与腕部运动相关的触发,即由于伸肌腱导致的“真性扳机腕”较为罕见。文献中仅有少数病例报告,但均与急性部分肌腱断裂无关。我们报告一例源自桡侧腕短伸肌腱(ECRB)部分断裂的真性扳机腕病例。与其他报告不同的是,初始损伤与触发症状出现之间的间隔较短,因为部分肌腱断裂处形成了束状并形成了一个小结节。触发症状归因于该小结节在拇长伸肌腱(EPL)下方的弹响。