Extensor carpi ulnaris tendinosis and tenosynovitis

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Right wrist pain on the ulnar aspect from 6 months ago. No trauma.

Patient Data

Age: 30 years
Gender: Female

Abnormal intrasubstance increased fluid signal and focal thickening is present along the course of extensor carpi ulnar tendon ( ECU ) at the level of the wrist related to tendinosis.

Edema is s seen around the ECU tendon sheath.

A small synovial cyst is present at the dorsal aspect of the wrist and deep to the common extensor tendon.

Case Discussion

Young female presented with the non-traumatic onset of right wrist pain on the ulnar aspect. MRI findings suggest extensor carpi ulnaris tendinosis with surrounding edematous changes of the tendon sheath reflecting tenosynovitis. 

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