Extensor carpi ulnaris tenosynovitis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Local non-resolving swelling. History of thorn injury to ulnar aspect of wrist / distal forearm - 15 days back. USG to look for ECU and any foreign body.

Patient Data

Age: 45 years
Gender: Male
ultrasound

Global thickening with effusion is noted at sheath of extensor carpi ulnaris ( ECU ) tendon. Local hypervascularity also is present. There is normal fibrillar pattern at ECU tendon and no evidence of intratendinus hypoechoic areas /tears. Foreign body could not be localized.

Case Discussion

The ultrasonography findings are compatible with extensor carpi ulnaris tenosynovitis.

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