Flexor Tendon Sheath Ganglion of the A1 Pulley Causing Trigger Thumb:  A Case Report

Abhishek Sugumar K.; Vidya Sagar; Raviraj A.; Ashish Anand

doi:10.9734/ijmpcr/2024/v17i1363

Research Article Open access CC BY 4.0

Flexor Tendon Sheath Ganglion of the A1 Pulley Causing Trigger Thumb: A Case Report

Abhishek Sugumar K., Vidya Sagar, Raviraj A., Ashish Anand

International Journal of Medical and Pharmaceutical Case Reports · pp. 24–27 · Published 13 Feb 2024

10.9734/ijmpcr/2024/v17i1363

Abstract

Ganglion as cause of triggering of fingers have been described previously but they are not commonly described for the Thumb. We present the case of a 34-year-old lady who presented with triggering of the right thumb of few months duration. Patient chose to decline further imaging work up or injections. She elected to proceed with surgery. Surgical exploration revealed a 4x2mm ganglion in the A-1 pulley which was excised and resulted in complete resolution of the symptoms. To the best of our knowledge this is only the second described case report in English Literature.

Ganglion thumb A1 pulley trigger thumb hand tumors

References (10)

1 Current Concepts in the Management of Trigger Finger in Adults [DOI]
2 Conservative management of trigger finger: A systematic review [DOI]
3 Management of Diabetic Trigger Finger [DOI]
4 Acquired triggering of the fingers and thumb in adults [DOI]
5 FLEXOR TENDON SHEATH GANGLION: ANALYSIS OF 128 CASES [DOI]
6 Ganglions of the wrist and hand [DOI]
7 The Distribution of Fibrous Flexor Sheath Ganglions [DOI]
8 Triggering of Thumb by a Ganglion Cyst of the Flexor Tendon Sheath at A1 Pulley: A Case Report [DOI]
9 Ganglion of the Flexor Tendon Sheath at the A2 Pulley - Case Report [DOI]
10 Ganglion of the Flexor Tendon Sheath between A1 Pulley and A2 Pulley [DOI]

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Abhishek Sugumar K., Vidya Sagar, Raviraj A., Ashish Anand (2024). Flexor Tendon Sheath Ganglion of the A1 Pulley Causing Trigger Thumb: A Case Report. International Journal of Medical and Pharmaceutical Case Reports , 24–27. https://doi.org/10.9734/ijmpcr/2024/v17i1363

Affiliations

Abhishek Sugumar K. — Apollo Hospitals, Bannerghata Road, Bangalore-560076, India.
Vidya Sagar — Apollo Hospitals, Bannerghata Road, Bangalore-560076, India.
Raviraj A. — Apollo Hospitals, Bannerghata Road, Bangalore-560076, India.
Ashish Anand — VAMC Jackson, University of Mississippi Med Ctr, Jackson, MS, USA and William Carey School of Osteopathic Medicine, Hattiesburg, MS, USA.

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