Giant Cell Tumour of the Tendon Sheath Masquerading as Trigger Finger
- Author:
Rahimawati N
;
Roohi Sa
;
As Naicker
- Publication Type:Journal Article
- Keywords:
giant cell tumour;
trigger finger;
infection
- From:Malaysian Orthopaedic Journal
2010;4(3):32-35
- CountryMalaysia
- Language:English
-
Abstract:
We report a case of a 59-year-old female who presented in the general orthopaedic clinic with triggering of her right middle finger. She did not respond to conventional treatment methods; subsequently she underwent surgical open release under local anaesthesia. Five months postoperatively, the patient presented with signs and symptoms of acute flexor tenosynovitis, and was thought to have a postoperative infection. Re-examination by a hand surgeon raised the possibility of a different aetiology. Based on clinical findings and response to initial treatment, giant cell tumour of the flexor tendon sheath was suspected and later confirmed following surgical biopsy. A high index of suspicion and knowledge of the variegated presentations of giant cell tumour in the hand are beneficial in these types of cases.
