J Wrist Surg 2015; 04(01): 065-067
DOI: 10.1055/s-0034-1398473
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Extensor Carpi Ulnaris Tenosynovitis Caused by the Tip of an Oversized Ulnar Styloid: A Case Report

Marcos Sanmartín-Fernández
1   Hand Surgery Unit, Departament of Orthopedic Surgery and Traumatology, Povisa Hospital, Vigo, Spain
,
José Couceiro-Otero
1   Hand Surgery Unit, Departament of Orthopedic Surgery and Traumatology, Povisa Hospital, Vigo, Spain
,
María Costas-Alvarez
2   Musculoskeletal Unit, Departament of Radiology, Povisa Hospital, Vigo, Spain
,
Anahí Sotelo-Garcia
1   Hand Surgery Unit, Departament of Orthopedic Surgery and Traumatology, Povisa Hospital, Vigo, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
13 February 2015 (online)

Abstract

Background Degenerative tendinopathy of the extensor carpi ulnaris (ECU) produced by the tip of an oversized ulnar styloid has not been formerly reported.

Case Description We report an uncommon case of an injury to the ECU tendon that was related to a prominent oversized ulnar styloid. The patient's symptoms improved following resection of the styloid process.

Literature Review Our case differs from previous reports in that it involves an uninjured oversized ulnar styloid that damaged the overlying ECU tendon with no apparent instability.

Clinical Relevance Besides ulnar styloid impaction syndrome, the diagnosis of ECU tenosynovitis should also be considered in patients with ulnar-side pain and an oversized ulnar styloid.

 
  • References

  • 1 Topper SM, Wood MB, Ruby LK. Ulnar styloid impaction syndrome. J Hand Surg Am 1997; 22 (4) 699-704
  • 2 Allende C, Le Viet D. Extensor carpi ulnaris problems at the wrist—classification, surgical treatment and results. J Hand Surg [Br] 2005; 30 (3) 265-272
  • 3 Garcia-Ellis M. Dorsal fractures of the triquetrum–avulsionor compression fracturews?. Clin Orthop Relat Res 1970; 68 (68) 124-129
  • 4 Spinner M, Kaplan EB. Extensor carpi ulnaris. Its relationship to the stability of the distal radio-ulnar joint. J Hand Surg 1987; 12A: 266-268
  • 5 Taleisnik J, Gelberman RH, Miller BW, Szabo RM. The extensor retinaculum of the wrist. J Hand Surg Am 1984; 9 (4) 495-501
  • 6 Crimmins CA, Jones NF. Stenosing tenosynovitis of the extensor carpi ulnaris. Ann Plast Surg 1995; 35 (1) 105-107
  • 7 Chun S, Palmer AK. Chronic ulnar wrist pain secondary to partial rupture of the extensor carpi ulnaris tendon. J Hand Surg Am 1987; 12 (6) 1032-1035
  • 8 Nachinolcar UG, Khanolkar KB. Stenosing tenovaginitis of extensor carpi ulnaris: brief report. J Bone Joint Surg Br 1988; 70 (5) 842
  • 9 Chang CY, Huang AJ, Bredella MA, Kattapuram SV, Torriani M. Association between distal ulnar morphology and extensor carpi ulnaris tendon pathology. Skeletal Radiol 2014; 43 (6) 793-800