De Quervain's tenosynovitis associated with heterotopic calcifications and synovial hypertrophy of the APL
Dr. Sosa, Gustavo Luis
- Case name: De Quervain's tenosynovitis associated with heterotopic calcifications and synovial hypertrophy of the APL
- Author Name: Dr. Sosa, Gustavo Luis
- Author's job position: Institut Universitari Quirón Dexeus – ICATME, Sports Medicine Associate.
- Clinical and Examination: History of left radius diaphyseal fracture 14 years ago, complicated by pseudoarthrosis, which was re-operated on and consolidated. 4 years ago, extensor tenosynovitis and the first extensor groove treated with corticosteroids on several occasions, operated on with tenosynovectomy and tenolysis. Consultation for severe pain and Finkelstein +
- Radiography : Anteroposterior and Lateral presence of osteosynthesis material
- Ultrasound: Hypoechoic thickening of the first groove at the expense of the ECRB can be observed, with a single septum. Multiple hyperechoic images in the 1st extensor groove already distal to it, which do not leave a posterior acoustic shadow and a lump/synovial hypertrophy of the APL in the distal third of the forearm. Dopler (-).