A Surgical Case Report: Scaphoid Bony Irregularity Leading to Tendon Entrapment and Attrition

Abstract

<p>The complex bony structure of the wrist and associated soft tissue attachments allows a unique combination of mobility and strength, but also renders the wrist vulnerable to injury. The scaphoid is the most commonly injured carpal bone, accounting for more than 80% of carpal fractures. Scaphoid fractures and their sequelae are frequently discussed in hand surgery literature. Flexor Carpi-Radialis (FCR) tendinitis is unusual as an isolated diagnosis and is more commonly related to adjacent pathology. The most frequent cause is Scapho-Trapezial Trapezoid (STT) osteoarthritis and an associated volar capsule tear, causing STT spurs to irritate the overlying FCR tendon. We report a case of FCR tendinopathy (tendon attrition and inflammation) from traumatic scaphoid tubercle irregularity, without STT arthritis.</p>