Giant Cell Tumour of Tendon Sheath Masquerading As Trigger Finger
Journal Title: Malaysian Orthopaedic Journal - Year 2010, Vol 4, Issue 3
Abstract
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.
Authors and Affiliations
N Rahimawati, SA Roohi, AS Naicker, O Zanariah
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