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snapping wrist due to bony prominence and tenosynovitis of the first extensor compartment:A case report

World Journal of Clinical Cases 2021年第16期9卷 3908-3913页

作者： Chia Jung Hu Po-Chin Chow I-Shiang Tzeng Department of Orthopedics Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei 23142Taiwan Department of Research Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei 23142Taiwan

BACKGROUND A snapping wrist is a rare symptom that results from the sudden impingement of one anatomic structure against another,subsequently causing a sudden movement only during wrist *** SUMMARY A 30-year-old woman with a history of right wrist contusion reported right wrist snapping after *** snapping became symptomatic after moving heavy *** pain persisted even when she received 1 mo of conservative *** examination showed painful wrist snapping during wrist radioulnar motion and thumb *** demonstrated bone overgrowth over the radial styloid *** disclosed a tendon jumping over a bony prominence in the first compartment during wrist *** resonance imaging revealed no anomalous tendon nor tumorlike *** the wide-awake local anesthesia no tourniquet(WALANT)technique,the lesion was identified in the first extensor *** patient received stepwise extensor retinaculum release,synovectomy,and bone spur *** 6th week,the patient was completely free of pain and unable to snap her *** started working 7 wk after the *** year after the surgery,the wrist snap was not *** Careful physical examination and dynamic sonography may confirm the diagnosis of a snapping *** the WALANT technique,the lesion could be identified under direct vision,and we could take stepwise interventions according to intraoperative presentations.

关键词： snapping wrist Tenosynovitis Wide-awake local anesthesia no tourniquet technique Orthopedics snapping syndromes wrist Case report

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