Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 6 3 2021 01 18 69 71 Behzad Enayati Joint Reconstruction Research Center, Tehran University of Medical Sciences Mahmoud Farzan Joint Reconstruction Research Center, Tehran University of Medical Sciences Shahram Akrami School of Medicine, Physical med and rehabilitation Pouya Tabatabaei Irani Joint Reconstruction Research Center, Tehran University of Medical Sciences Alireza Moharrami Joint Reconstruction Research Center, Tehran University of Medical Sciences 2020 08 07 2020 09 06 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. https://jost.tums.ac.ir/index.php/jost/article/view/206 https://jost.tums.ac.ir/index.php/jost/article/download/206/192