Impingement of a fibroma of the extensor tendon sheath on the extensor retinaculum

Abstract

Deep lacerations to the forearm can cause impaired movement of the digits. This report describes the presentation and management of a self-harmer who presented with loss of motion of her ring finger. Surgical exploration unexpectedly demonstrated the cause to be a fibroma of the tendon sheath impinging on the extensor retinaculum. Full recovery was demonstrated at sixmonth review following removal of the lesion.

Keywords

Tendon sheath - Fibroma - Impingement - Extensor retinaculum

• References

• 1 Isacsson G, Rich CL. Management of patients who deliberately harm themselves. BMJ 2001; 322: 213-215
• 2 Buxton St JD. Tumours of tendon and tendon sheath. Br J Surg 1923; 10: 469-474
• 3 Geschickter CF, Copeland MM. Tumors of bone. 1949. 3rd edn Lippincott; Philadelphia: pp. 693-695
• 4 Chung EB, Enzinger FM. Fibroma of tendon sheath. Cancer 1979; 44: 1945-1954