Trigger Wrist Associated with Carpal Tunnel Syndrome Caused by Flexor Digitorum Superficialis Muscle Belly Hypertrophy: A Case Report and Literature Review
Abstract
Background: Trigger wrist is a rare disease with few reported cases in the literature. This condition presents with painful sensation and a clicking sound during finger or wrist movements.
Case Report: In this report, we present a 32-year-old man suffering from trigger wrist along with carpal tunnel syndrome caused by muscle belly hypertrophy and extension to the carpal tunnel. The diagnostic approach and surgical techniques are explained. Conclusion: In cases of trigger wrist associated with carpal tunnel syndrome (CTS), there may be an underlying cause covering both the trigger wrist and CTS at the volar side of the wrist. Therefore, a precise clinical examination is recommended to avoid unnecessary surgery, releasing of A1 pulley, or steroid injection.
1. Park IJ, Lee YM, Rhee SK, Song SW, Kim HM, Choi KB. Trigger wrist. Clin Orthop Surg. 2015;7(4):523-6. doi: 10.4055/cios.2015.7.4.523. [PubMed: 26640639]. [PubMed Central: PMC4667124].
2. Cossey AJ, Stranks GJ. Intramuscular lipoma in an anomalous muscle belly of the middle finger lumbrical as a cause of carpal tunnel syndrome and trigger wrist. Orthopedics. 2003;26(1):85-6. [PubMed: 12555841].
3. Wakasugi T, Shirasaka R, Kawauchi T, Fujita K, Okawa A. Carpal tunnel syndrome and trigger wrist caused by localized amyloidosis: A case report. J Hand Surg Asian Pac Vol. 2017;22(4):508-11. doi: 10.1142/S0218810417720340. [PubMed: 29117820].
4. Macdonald A, Wood R, Chapman P. Volar wrist ganglion presenting as trigger finger. J Hand Surg Eur Vol. 2013;38(3):327-8. doi: 10.1177/1753193412453699. [PubMed: 22759487].
5. Aghasi MK, Rzetelny V, Axer A. The flexor digitorum superficialis as a cause of bilateral carpal-tunnel syndrome and trigger wrist. A case report. J Bone Joint Surg Am. 1980;62(1):134-5. [PubMed: 7351405].
6. Rand B, McBride TJ, Dias RG. Combined triggering at the wrist and severe carpal tunnel syndrome caused by gouty infiltration of a flexor tendon. J Hand Surg Eur Vol. 2010;35(3):240-2. doi: 10.1177/1753193409357374. [PubMed: 20200080].
7. Suematsu N, Hirayama T, Takemitsu Y. Trigger wrist caused by a giant cell tumour of tendon sheath. J Hand Surg Br. 1985;10(1):121-3. doi: 10.1016/s0266-7681(85)80038-3. [PubMed: 3998591].
8. Al-Qattan MM, Elshamma NA, Alqabbani A. Trigger Wrist and Carpal tunnel syndrome caused by a flexor tendon-related ganglion in a teenager: A case report. Int J Surg Case Rep. 2017;30:86-8. doi: 10.1016/j.ijscr.2016.11.051. [PubMed: 28006718]. [PubMed Central: PMC5176128].
9. Kerasnoudis A. Elongated muscle belly of the flexor digitorum superficial causing carpal tunnel syndrome. Hand (N Y). 2012;7(3):333-4. doi: 10.1007/s11552-012-9435-z. [PubMed: 23997744]. [PubMed Central: PMC3418357].
10. Bou-Merhi JS, Harris PG, Brutus JP. "Trigger finger at the wrist" due to anomalous flexor digitorum superficialis muscle belly within the carpal tunnel. Chir Main. 2007;26(4-5):238-42. doi: 10.1016/j.main.2007.08.004. [PubMed: 17920326].
11. Chalmers RL, Mandalia M, Contreras R, Schreuder F. Acute trigger wrist and carpal tunnel syndrome due to giant-cell tumour of the flexor sheath. J Plast Reconstr Aesthet Surg. 2008;61(12):1557. doi: 10.1016/j.bjps.2008.03.033. [PubMed: 18656437].
12. Shimizu A, Ikeda M, Kobayashi Y, Saito I, Mochida J. Carpal tunnel syndrome with wrist trigger caused by hypertrophied lumbrical muscle and tenosynovitis. Case Rep Orthop. 2015;2015:705237. doi: 10.1155/2015/705237. [PubMed: 26171268]. [PubMed Central: PMC4478297].
2. Cossey AJ, Stranks GJ. Intramuscular lipoma in an anomalous muscle belly of the middle finger lumbrical as a cause of carpal tunnel syndrome and trigger wrist. Orthopedics. 2003;26(1):85-6. [PubMed: 12555841].
3. Wakasugi T, Shirasaka R, Kawauchi T, Fujita K, Okawa A. Carpal tunnel syndrome and trigger wrist caused by localized amyloidosis: A case report. J Hand Surg Asian Pac Vol. 2017;22(4):508-11. doi: 10.1142/S0218810417720340. [PubMed: 29117820].
4. Macdonald A, Wood R, Chapman P. Volar wrist ganglion presenting as trigger finger. J Hand Surg Eur Vol. 2013;38(3):327-8. doi: 10.1177/1753193412453699. [PubMed: 22759487].
5. Aghasi MK, Rzetelny V, Axer A. The flexor digitorum superficialis as a cause of bilateral carpal-tunnel syndrome and trigger wrist. A case report. J Bone Joint Surg Am. 1980;62(1):134-5. [PubMed: 7351405].
6. Rand B, McBride TJ, Dias RG. Combined triggering at the wrist and severe carpal tunnel syndrome caused by gouty infiltration of a flexor tendon. J Hand Surg Eur Vol. 2010;35(3):240-2. doi: 10.1177/1753193409357374. [PubMed: 20200080].
7. Suematsu N, Hirayama T, Takemitsu Y. Trigger wrist caused by a giant cell tumour of tendon sheath. J Hand Surg Br. 1985;10(1):121-3. doi: 10.1016/s0266-7681(85)80038-3. [PubMed: 3998591].
8. Al-Qattan MM, Elshamma NA, Alqabbani A. Trigger Wrist and Carpal tunnel syndrome caused by a flexor tendon-related ganglion in a teenager: A case report. Int J Surg Case Rep. 2017;30:86-8. doi: 10.1016/j.ijscr.2016.11.051. [PubMed: 28006718]. [PubMed Central: PMC5176128].
9. Kerasnoudis A. Elongated muscle belly of the flexor digitorum superficial causing carpal tunnel syndrome. Hand (N Y). 2012;7(3):333-4. doi: 10.1007/s11552-012-9435-z. [PubMed: 23997744]. [PubMed Central: PMC3418357].
10. Bou-Merhi JS, Harris PG, Brutus JP. "Trigger finger at the wrist" due to anomalous flexor digitorum superficialis muscle belly within the carpal tunnel. Chir Main. 2007;26(4-5):238-42. doi: 10.1016/j.main.2007.08.004. [PubMed: 17920326].
11. Chalmers RL, Mandalia M, Contreras R, Schreuder F. Acute trigger wrist and carpal tunnel syndrome due to giant-cell tumour of the flexor sheath. J Plast Reconstr Aesthet Surg. 2008;61(12):1557. doi: 10.1016/j.bjps.2008.03.033. [PubMed: 18656437].
12. Shimizu A, Ikeda M, Kobayashi Y, Saito I, Mochida J. Carpal tunnel syndrome with wrist trigger caused by hypertrophied lumbrical muscle and tenosynovitis. Case Rep Orthop. 2015;2015:705237. doi: 10.1155/2015/705237. [PubMed: 26171268]. [PubMed Central: PMC4478297].
| Files | ||
| Issue | Vol 6, No 3 (2020) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v6i3.4970 | |
| Keywords | ||
| Trigger; Wrist; Carpal Tunnel Syndrome; Flexor Digitorum Superficialis | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Enayati B, Farzan M, Akrami S, Tabatabaei Irani P, Moharrami A. Trigger Wrist Associated with Carpal Tunnel Syndrome Caused by Flexor Digitorum Superficialis Muscle Belly Hypertrophy: A Case Report and Literature Review. J Orthop Spine Trauma. 2021;6(3):69-71.
