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Stenosing tenosynovitis

MedGen UID:
57854
•Concept ID:
C0158329
•
Disease or Syndrome
Synonyms: Entrapment, Tendon; Entrapments, Tendon; Stenosing Tendovaginitides; Stenosing Tendovaginitis; Stenosing Tenosynovitides; Stenosing Tenosynovitis; Stenosing Tenovaginitides; Stenosing Tenovaginitis; Tendon Entrapment; Tendon Entrapments; Tendovaginitides, Stenosing; Tendovaginitis, Stenosing; Tenosynovitides, Stenosing; Tenosynovitis, Stenosing; Tenovaginitides, Stenosing; Tenovaginitis, Stenosing
SNOMED CT: Stenosing tenosynovitis (66452006); Constrictive tenosynovitis (66452006)

Definition

Narrowing or stenosis of a tendon''s retinacular sheath. It occurs most often in the hand or wrist but can also be found in the foot or ankle. The most common types are DE QUERVAIN DISEASE and TRIGGER FINGER DISORDER. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVStenosing tenosynovitis

Professional guidelines

PubMed

Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Cost-Effective Management of Stenosing Tenosynovitis.
Halim A, Sobel AD, Eltorai AEM, Mansuripur KP, Weiss AC
J Hand Surg Am 2018 Dec;43(12):1085-1091. Epub 2018 Jun 8 doi: 10.1016/j.jhsa.2018.04.013. PMID: 29891265
Treatment of trigger finger in patients with diabetes mellitus.
Griggs SM, Weiss AP, Lane LB, Schwenker C, Akelman E, Sachar K
J Hand Surg Am 1995 Sep;20(5):787-9. doi: 10.1016/S0363-5023(05)80432-0. PMID: 8522745

Recent clinical studies

Etiology

Genetic Risk of Trigger Finger: Results of a Genomewide Association Study.
Sood RF, Westenberg RF, Winograd JM, Eberlin KR, Chen NC
Plast Reconstr Surg 2020 Aug;146(2):165e-176e. doi: 10.1097/PRS.0000000000006982. PMID: 32740585
Trigger Finger? Just Shoot!
Merry SP, O'Grady JS, Boswell CL
J Prim Care Community Health 2020 Jan-Dec;11:2150132720943345. doi: 10.1177/2150132720943345. PMID: 32686570Free PMC Article
Modified percutaneous trigger finger release.
Werthel JD, Cortez M, Elhassan BT
Hand Surg Rehabil 2016 Jun;35(3):179-182. Epub 2016 Mar 14 doi: 10.1016/j.hansur.2016.02.004. PMID: 27740459
Management of Stenosing Flexor Tenosynovitis: Maximizing Nonoperative Success without Increasing Morbidity.
Golas AR, Marcus LR, Reiffel RS
Plast Reconstr Surg 2016 Feb;137(2):557-562. doi: 10.1097/01.prs.0000475789.46608.39. PMID: 26818290
Trigger digits: principles, management, and complications.
Ryzewicz M, Wolf JM
J Hand Surg Am 2006 Jan;31(1):135-46. doi: 10.1016/j.jhsa.2005.10.013. PMID: 16443118

Diagnosis

Trapezium Tunnel Syndrome.
Afshar A, Tabrizi A, Shariyate MJ
J Hand Surg Am 2024 Jan;49(1):51-56. Epub 2023 Nov 22 doi: 10.1016/j.jhsa.2023.10.014. PMID: 37999703
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Acute Peroneal Injury.
Brodsky JW, Zide JR, Kane JM
Foot Ankle Clin 2017 Dec;22(4):833-841. doi: 10.1016/j.fcl.2017.07.013. PMID: 29078831
Trigger Finger: An Atraumatic Medical Phenomenon.
Vasiliadis AV, Itsiopoulos I
J Hand Surg Asian Pac Vol 2017 Jun;22(2):188-193. doi: 10.1142/S021881041750023X. PMID: 28506168
De quervain tenosynovitis of the wrist.
Ilyas AM, Ast M, Schaffer AA, Thoder J
J Am Acad Orthop Surg 2007 Dec;15(12):757-64. doi: 10.5435/00124635-200712000-00009. PMID: 18063716

Therapy

Unblinding de Quervain: A systematic review of ultrasound-guided injection of corticosteroids for treatment of stenosing tenosynovitis of the 1st extensor compartment.
He KS, He KS, Cheah A, Al-Halabi B, Danino MA, Efanov JI
J Med Radiat Sci 2023 Sep;70(3):319-326. Epub 2023 Apr 20 doi: 10.1002/jmrs.681. PMID: 37078429Free PMC Article
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Trigger Finger: An Atraumatic Medical Phenomenon.
Vasiliadis AV, Itsiopoulos I
J Hand Surg Asian Pac Vol 2017 Jun;22(2):188-193. doi: 10.1142/S021881041750023X. PMID: 28506168
Disorders of the Flexor Hallucis Longus and Os Trigonum.
Rungprai C, Tennant JN, Phisitkul P
Clin Sports Med 2015 Oct;34(4):741-59. Epub 2015 Jul 23 doi: 10.1016/j.csm.2015.06.005. PMID: 26409593
Trigger digits: principles, management, and complications.
Ryzewicz M, Wolf JM
J Hand Surg Am 2006 Jan;31(1):135-46. doi: 10.1016/j.jhsa.2005.10.013. PMID: 16443118

Prognosis

Modified percutaneous trigger finger release.
Werthel JD, Cortez M, Elhassan BT
Hand Surg Rehabil 2016 Jun;35(3):179-182. Epub 2016 Mar 14 doi: 10.1016/j.hansur.2016.02.004. PMID: 27740459
Management of Stenosing Flexor Tenosynovitis: Maximizing Nonoperative Success without Increasing Morbidity.
Golas AR, Marcus LR, Reiffel RS
Plast Reconstr Surg 2016 Feb;137(2):557-562. doi: 10.1097/01.prs.0000475789.46608.39. PMID: 26818290
Flexor digitorum longus tendoscopy.
Lui TH
J Foot Ankle Surg 2012 Sep-Oct;51(5):690-2. Epub 2012 Jun 21 doi: 10.1053/j.jfas.2012.05.005. PMID: 22727339
Stenosing synovitis of the extensor pollicis longus tendon.
Kardashian G, Vara AD, Miller SJ, Miki RA, Jose J
J Hand Surg Am 2011 Jun;36(6):1035-8. doi: 10.1016/j.jhsa.2011.02.004. PMID: 21636022
Stenosing tenosynovitis of the extensor carpi ulnaris.
Crimmins CA, Jones NF
Ann Plast Surg 1995 Jul;35(1):105-7. doi: 10.1097/00000637-199507000-00020. PMID: 7574276

Clinical prediction guides

Traditional Physiotherapy vs. Fascial Manipulation for the Treatment of Trigger Finger: A Randomized Pilot Study.
Iordache SD, Frenkel Rutenberg T, Pizem Y, Ravid A, Firsteter O
Isr Med Assoc J 2023 Apr;25(4):286-291. PMID: 37129129
Unblinding de Quervain: A systematic review of ultrasound-guided injection of corticosteroids for treatment of stenosing tenosynovitis of the 1st extensor compartment.
He KS, He KS, Cheah A, Al-Halabi B, Danino MA, Efanov JI
J Med Radiat Sci 2023 Sep;70(3):319-326. Epub 2023 Apr 20 doi: 10.1002/jmrs.681. PMID: 37078429Free PMC Article
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Transdermal anaesthesia for percutaneous trigger finger release.
Yiannakopoulos CK, Ignatiadis IA
Hand Surg 2006;11(3):159-62. doi: 10.1142/S0218810406003218. PMID: 17405199
Nutritional disorders in a concentration camp.
Lee BY, Thurmon TF
J Am Coll Nutr 1997 Aug;16(4):366-75. doi: 10.1080/07315724.1997.10718699. PMID: 9263187

Recent systematic reviews

Unblinding de Quervain: A systematic review of ultrasound-guided injection of corticosteroids for treatment of stenosing tenosynovitis of the 1st extensor compartment.
He KS, He KS, Cheah A, Al-Halabi B, Danino MA, Efanov JI
J Med Radiat Sci 2023 Sep;70(3):319-326. Epub 2023 Apr 20 doi: 10.1002/jmrs.681. PMID: 37078429Free PMC Article
Aromatase Inhibitor-Induced Carpal Tunnel Syndrome and Stenosing Tenosynovitis: A Systematic Review.
Chung KY, Ho G, Novak CB, Baltzer HL
Plast Reconstr Surg 2022 Mar 1;149(3):445e-452e. doi: 10.1097/PRS.0000000000008835. PMID: 35196681
A Systematic Review of the Efficacy of Corticosteroid Injections of Tendon Sheaths, Excluding Stenosing Tenosynovitis of the Wrist and Hand.
Cushman DM, Carefoot A, Lisenby S, Caragea M, Fogg B, Conger A
Am J Phys Med Rehabil 2021 Jul 1;100(7):683-688. doi: 10.1097/PHM.0000000000001609. PMID: 33017344
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Corticosteroid injections in the treatment of trigger finger: a level I and II systematic review.
Fleisch SB, Spindler KP, Lee DH
J Am Acad Orthop Surg 2007 Mar;15(3):166-71. doi: 10.5435/00124635-200703000-00006. PMID: 17341673

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