Intrasynovial lipoma causing trigger wrist and carpal tunnel syndrome

Scand J Plast Reconstr Surg Hand Surg. 2008;42(6):328-30. doi: 10.1080/02844310701282104.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carpal Tunnel Syndrome / diagnosis
  • Carpal Tunnel Syndrome / etiology*
  • Carpal Tunnel Syndrome / surgery
  • Humans
  • Lipoma / complications*
  • Lipoma / surgery
  • Male
  • Orthopedic Procedures / methods
  • Paresthesia / etiology
  • Paresthesia / surgery
  • Range of Motion, Articular
  • Soft Tissue Neoplasms / complications*
  • Soft Tissue Neoplasms / surgery
  • Synovectomy
  • Synovial Membrane / pathology*
  • Tendon Entrapment / diagnosis
  • Tendon Entrapment / etiology*
  • Tendon Entrapment / surgery
  • Wrist Joint / pathology
  • Wrist Joint / surgery