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. 2015 Jun;10(2):323-7.
doi: 10.1007/s11552-014-9631-0.

A simple blind tenolysis for flexor carpi radialis tendinopathy

Peter R G Brink  1 , Bas B G M Franssen  2 , Dominique J G Disseldorp  3
Affiliations

A simple blind tenolysis for flexor carpi radialis tendinopathy

Peter R G Brink et al. Hand (N Y). 2015 Jun.

Abstract

Background: Flexor carpi radialis (FCR) tendinopathy is an entity with a chronic form (repetitiveness of work) and an acute form (acute overstretching of the wrist). Confirmation of this syndrome can be established by injection of a small amount of a local anesthetic in the sheet of the FCR at this tender point. Complete relieve of the symptoms after injection confirms the existence of a tendinopathy of the FCR. Whereas rest and/or local application of steroids do not have a persistent effect on the short term outcome, a tenolysis could be performed. Before performing a tenolysis underlying causes should be excluded or treated.

Methods: In this article a simple and save technique is described, using a small Beaver knife to open the osteofibrous tunnel of the flexor carpi radialis tendon, without opening the carpal tunnel.

Results: Relieve of complaints could be reached up to almost two third of all cases.

Conclusion: In cases in which non-operative treatment is not effective regarding FCR tendinopathy, a simple blind technique by opening the osteofibrous tunnel could be successful.

Keywords: Blind tenolysis; Flexor carpi radialis; Tendinopathy.

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Figures

Fig. 1
Fig. 1
Specimen of the left hand, showing the trapezial ridge. The retinacular septum and the content of the carpal space are removed
Fig. 2
Fig. 2
Flow chart of when to perform a FCR tenolysis
Fig. 3
Fig. 3
MRI (T2) showing a FCR tendinitis (arrow)
Fig. 4
Fig. 4
Specimen of the left hand showing the intact retinacular septum (arrow)
Fig. 5
Fig. 5
a Small beaver knife before introduction (note the length of the knife). b After incision of the septum, the knife hits the base of the second metacarpal bone
See this image and copyright information in PMC

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