Cargando…

Triggering Thumb Is Not Always a Trigger Thumb

Although rare, the thumb can trigger because of de Quervain disease. An 18-year-old woman presented with painful triggering during thumb movements. Physical examination revealed locking upon thumb extension and painful snapping upon thumb flexion, with tenderness over the first extensor compartment....

Descripción completa

Detalles Bibliográficos
Autores principales: Ayhan, Egemen, Cevik, Kadir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678649/
https://www.ncbi.nlm.nih.gov/pubmed/36420466
http://dx.doi.org/10.1016/j.jhsg.2022.04.004
_version_ 1784834034522652672
author Ayhan, Egemen
Cevik, Kadir
author_facet Ayhan, Egemen
Cevik, Kadir
author_sort Ayhan, Egemen
collection PubMed
description Although rare, the thumb can trigger because of de Quervain disease. An 18-year-old woman presented with painful triggering during thumb movements. Physical examination revealed locking upon thumb extension and painful snapping upon thumb flexion, with tenderness over the first extensor compartment. During the ultrasonography examination, the extensor pollicis brevis tendon snapped with a jerky movement. According to intraoperative active movement under wide-awake local anesthesia no tourniquet, only the extensor pollicis brevis tendon subcompartment was released, and the snapping was resolved. The patient was symptom-free at the second postoperative week control. Triggering because of de Quervain tenosynovitis is a rare condition, and surgical release is required in most cases. Dynamic ultrasonography is an effective tool for precise preoperative assessment of pathology and assists surgical planning. Surgery under wide-awake local anesthesia no tourniquet is advised, which helps intraoperative assessment of pathology and ensures accurate treatment.
format Online
Article
Text
id pubmed-9678649
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-96786492022-11-22 Triggering Thumb Is Not Always a Trigger Thumb Ayhan, Egemen Cevik, Kadir J Hand Surg Glob Online Case Report Although rare, the thumb can trigger because of de Quervain disease. An 18-year-old woman presented with painful triggering during thumb movements. Physical examination revealed locking upon thumb extension and painful snapping upon thumb flexion, with tenderness over the first extensor compartment. During the ultrasonography examination, the extensor pollicis brevis tendon snapped with a jerky movement. According to intraoperative active movement under wide-awake local anesthesia no tourniquet, only the extensor pollicis brevis tendon subcompartment was released, and the snapping was resolved. The patient was symptom-free at the second postoperative week control. Triggering because of de Quervain tenosynovitis is a rare condition, and surgical release is required in most cases. Dynamic ultrasonography is an effective tool for precise preoperative assessment of pathology and assists surgical planning. Surgery under wide-awake local anesthesia no tourniquet is advised, which helps intraoperative assessment of pathology and ensures accurate treatment. Elsevier 2022-05-05 /pmc/articles/PMC9678649/ /pubmed/36420466 http://dx.doi.org/10.1016/j.jhsg.2022.04.004 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ayhan, Egemen
Cevik, Kadir
Triggering Thumb Is Not Always a Trigger Thumb
title Triggering Thumb Is Not Always a Trigger Thumb
title_full Triggering Thumb Is Not Always a Trigger Thumb
title_fullStr Triggering Thumb Is Not Always a Trigger Thumb
title_full_unstemmed Triggering Thumb Is Not Always a Trigger Thumb
title_short Triggering Thumb Is Not Always a Trigger Thumb
title_sort triggering thumb is not always a trigger thumb
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678649/
https://www.ncbi.nlm.nih.gov/pubmed/36420466
http://dx.doi.org/10.1016/j.jhsg.2022.04.004
work_keys_str_mv AT ayhanegemen triggeringthumbisnotalwaysatriggerthumb
AT cevikkadir triggeringthumbisnotalwaysatriggerthumb