A simple blind tenolysis for flexor carpi radialis tendinopathy.

Autor: Brink PR; Department of Surgery, Division of Traumatology, Maastricht University Medical Center, Postbox 5800, 6202 AZ Maastricht, The Netherlands., Franssen BB; Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Postbox 5800, 6202 AZ Maastricht, The Netherlands., Disseldorp DJ; Department of Surgery, St. Elisabeth Hospital, Hilvarenbeekse Weg 60, 5022 GC Tilburg, The Netherlands.
Jazyk: angličtina
Zdroj: Hand (New York, N.Y.) [Hand (N Y)] 2015 Jun; Vol. 10 (2), pp. 323-7.
DOI: 10.1007/s11552-014-9631-0
Abstrakt: Background: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.
Methods: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.
Results: Relieve of complaints could be reached up to almost two third of all cases.
Conclusion: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.
Databáze: MEDLINE
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