Treatment of Chronic Extensor Carpi Ulnaris Stenosing Tenosynovitis Using Ultrasound-Guided Retinaculum Release: A Case Report

Ricardo E Colberg; B C Maisel; Glenn S Fleisig

doi:10.2106/JBJS.CC.23.00461

Treatment of Chronic Extensor Carpi Ulnaris Stenosing Tenosynovitis Using Ultrasound-Guided Retinaculum Release: A Case Report

JBJS Case Connect. 2024 Jan 19;14(1). doi: 10.2106/JBJS.CC.23.00461. eCollection 2024 Jan 1.

Authors

Ricardo E Colberg^{1

2}, B C Maisel^{1

2}, Glenn S Fleisig²

Affiliations

¹ Andrews Sports Medicine and Orthopaedic Center, Birmingham, Alabama.
² American Sports Medicine Institute, Birmingham, Alabama.

PMID: 38241430
DOI: 10.2106/JBJS.CC.23.00461

Abstract

Case: A 65-year-old man with chronic extensor carpi ulnaris (ECU) stenosing tenosynovitis who had failed treatments for 3 years was successfully treated with an ultrasound-guided retinaculum release of the sixth dorsal compartment.

Conclusion: There are limited options in the literature for treating chronic, recalcitrant ECU tenosynovitis. We describe a novel technique in which the retinaculum overlying the ECU tendon was successfully incised under ultrasound guidance to release the sixth dorsal compartment stenosis. There was no recurrence of symptoms in the following 2 years of follow-up.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Constriction, Pathologic
Humans
Male
Tendon Entrapment* / diagnostic imaging
Tendon Entrapment* / surgery
Tenosynovitis* / diagnostic imaging
Ultrasonography, Interventional
Wrist Joint