RT Journal Article
SR Electronic
T1 Trigger Wrist Caused by a Rheumatoid Nodule on the Flexor Pollicis Longus Tendon
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 64
OP 66
DO 10.31486/toj.22.0033
VO 23
IS 1
A1 Devan Higginbotham
A1 Dominik Fleifel
A1 Andrew Tsai
YR 2023
UL http://www.ochsnerjournal.org/content/23/1/64.abstract
AB Background: Trigger wrist is a rare condition. Previously reported cases have involved nodules or ganglion cysts affecting flexor digitorum profundus tendons; however, we found no reported cases of trigger wrist caused by a rheumatoid nodule on the flexor pollicis longus tendon.Case Report: A 57-year-old female presented with the complaint of chronic triggering of the right thumb and numbness in her fingers consistent with carpal tunnel syndrome. Corticosteroid injection did not provide symptom relief, so the patient was scheduled for surgery. A 3 × 1.5-cm lesion was removed from the flexor pollicis longus tendon distal to the carpal tunnel. Histopathologic examination demonstrated that the lesion was a rheumatoid nodule.Conclusion: Patients with rheumatoid arthritis who present with trigger finger symptoms of the thumb with concomitant carpal tunnel symptoms require careful evaluation to rule out trigger wrist before the condition progresses to Mannerfelt lesion.