A simple blind tenolysis for flexor carpi radialis tendinopathy

Peter R G Brink; Bas B G M Franssen; Dominique J G Disseldorp

doi:10.1007/s11552-014-9631-0

A simple blind tenolysis for flexor carpi radialis tendinopathy

Peter R G Brink, Bas B G M Franssen^*, Dominique J G Disseldorp

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.

METHODS: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.

RESULTS: Relieve of complaints could be reached up to almost two third of all cases.

CONCLUSION: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.

Original language	English
Pages (from-to)	323-7
Number of pages	5
Journal	Hand
Volume	10
Issue number	2
DOIs	https://doi.org/10.1007/s11552-014-9631-0
Publication status	Published - Jun 2015

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10.1007/s11552-014-9631-0

Cite this

@article{c879c91fa0d74d1bbbab81952c087a4d,

title = "A simple blind tenolysis for flexor carpi radialis tendinopathy",

abstract = "BACKGROUND: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.METHODS: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.RESULTS: Relieve of complaints could be reached up to almost two third of all cases.CONCLUSION: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.",

author = "Brink, {Peter R G} and Franssen, {Bas B G M} and Disseldorp, {Dominique J G}",

year = "2015",

month = jun,

doi = "10.1007/s11552-014-9631-0",

language = "English",

volume = "10",

pages = "323--7",

journal = "Hand",

issn = "1558-9447",

publisher = "Springer Verlag",

number = "2",

}

TY - JOUR

T1 - A simple blind tenolysis for flexor carpi radialis tendinopathy

AU - Brink, Peter R G

AU - Franssen, Bas B G M

AU - Disseldorp, Dominique J G

PY - 2015/6

Y1 - 2015/6

N2 - BACKGROUND: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.METHODS: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.RESULTS: Relieve of complaints could be reached up to almost two third of all cases.CONCLUSION: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.

AB - BACKGROUND: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.METHODS: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.RESULTS: Relieve of complaints could be reached up to almost two third of all cases.CONCLUSION: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.

U2 - 10.1007/s11552-014-9631-0

DO - 10.1007/s11552-014-9631-0

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SN - 1558-9447

VL - 10

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EP - 327

JO - Hand

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