Foreign body - extensor carpi ulnaris tendon sheath

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Right wrist ulnar side thorn injury a few days ago. Complaining of local pain and swelling.

Patient Data

Age: 50 years
Gender: Female

Intact extensor carpi ulnaris tendon. Synovial thickening with effusion involving the tendon sheath. A linear echogenic focus (4 mm length) in the tendon sheath.

A retrieved thorn fragment from the 6th extensor compartment tendon sheath.

Case Discussion

The case shows foreign body-induced tenosynovitis of the 6th extensor compartment of the wrist. The foreign body (thorn fragment) was surgically removed.

Foreign body photo courtesy: operating surgeon Dr. Nisarg A. Patel

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