Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers

A 35-year-old Japanese man presented with a 1-month history of limited flexion and radiating pain in the left middle and ring fingers. A physical examination revealed a hard nodular mass in his left palm. Magnetic resonance imaging showed a 2 × 1.5 × 1 cm mass of low intensity on T1-weighted images...

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Main Authors: Kazuhiro Maeda, Nokitaka Setsu, Yoshiharu Kato, Akira Kawai, Eisuke Kobayashi
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/4129714
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author Kazuhiro Maeda
Nokitaka Setsu
Yoshiharu Kato
Akira Kawai
Eisuke Kobayashi
author_facet Kazuhiro Maeda
Nokitaka Setsu
Yoshiharu Kato
Akira Kawai
Eisuke Kobayashi
author_sort Kazuhiro Maeda
collection DOAJ
description A 35-year-old Japanese man presented with a 1-month history of limited flexion and radiating pain in the left middle and ring fingers. A physical examination revealed a hard nodular mass in his left palm. Magnetic resonance imaging showed a 2 × 1.5 × 1 cm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. The tumor was marginally resected, adhering to the flexor digitorum profundus of both the third and fourth fingers. The histological diagnosis was fibroma of tendon sheath. After the surgery, the range of motion and hand function were improved. No recurrence has been observed. Fibroma of tendon sheath usually arises on the fingers and hands with strong attachment to the tendon or tendon sheath. The tumor in the present case probably limited the range of flexion of the fingers by obstruction of the transverse carpal ligament.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-5b31545a853f482cba6989fbcc328d402025-02-03T06:12:01ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/41297144129714Fibroma of Tendon Sheath Presenting Limited Flexion of the FingersKazuhiro Maeda0Nokitaka Setsu1Yoshiharu Kato2Akira Kawai3Eisuke Kobayashi4Division of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, JapanDivision of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, JapanDepartment of Orthopaedic Surgery, Tokyo Women’s Medical University, Tokyo, JapanDivision of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, JapanDivision of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo, JapanA 35-year-old Japanese man presented with a 1-month history of limited flexion and radiating pain in the left middle and ring fingers. A physical examination revealed a hard nodular mass in his left palm. Magnetic resonance imaging showed a 2 × 1.5 × 1 cm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. The tumor was marginally resected, adhering to the flexor digitorum profundus of both the third and fourth fingers. The histological diagnosis was fibroma of tendon sheath. After the surgery, the range of motion and hand function were improved. No recurrence has been observed. Fibroma of tendon sheath usually arises on the fingers and hands with strong attachment to the tendon or tendon sheath. The tumor in the present case probably limited the range of flexion of the fingers by obstruction of the transverse carpal ligament.http://dx.doi.org/10.1155/2017/4129714
spellingShingle Kazuhiro Maeda
Nokitaka Setsu
Yoshiharu Kato
Akira Kawai
Eisuke Kobayashi
Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
Case Reports in Orthopedics
title Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
title_full Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
title_fullStr Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
title_full_unstemmed Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
title_short Fibroma of Tendon Sheath Presenting Limited Flexion of the Fingers
title_sort fibroma of tendon sheath presenting limited flexion of the fingers
url http://dx.doi.org/10.1155/2017/4129714
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