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Doctor insights on: Flexor Tendon Sheath Cyst Causes

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14 days ago had cortisone into a diffuse thickening of flexor tendon sheath of left ring finger with triggering evident. Still have severe pain?

14 days ago had cortisone into a diffuse thickening of flexor tendon sheath of left ring finger with triggering evident. Still have severe pain?

May need repeat: Steroid injection. Hopefully the injection can be done under ultrasound guidance to make sure the steroid goes into the tendon sheath and not elsewhere. Failure of a second injection may indicate need for surgery to fix the trigger finger (usually a problem with the A1 pulley). ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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How is tenosynovitis in the flexor hallucis longus tendon sheath treated if it is not infected?

How is tenosynovitis in the flexor hallucis longus tendon sheath treated if it is not infected?

Overuse and chronic?: If its an overuse injury--running too much perhaps--then rest is of primary importance. This is normally the case so I'll assume this is what's happening with you.
The more you can NOT flex down your big toe the better. That means no flip-flops and wearing stiff soled shoes as much as possible. If it becomes more and more bothersome so its difficult to walk normally see your doctor ...Read more

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Was told by doc a large hard lump on my collarbone not near my neck was just a tendon sheath cyst- he barely looked at it should I get 2nd opinion?

Was told by doc a large hard lump on my collarbone not near my neck was just a tendon sheath cyst- he barely looked at it should I get 2nd opinion?

Yes: I would definitely get a second opinion. You should have an x-ray to make sure there is not a problem with you bones (ie tumor or infection). In general there are no tendon sheaths on or near your collarbone. Definitely a second opinion from an orthopedic surgeon. ...Read more

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How risky is surgery for removal of small ganglion cyst in soft tissue of tendon sheath on back of big toe @ what is involved in post-op care.

How risky is surgery for removal of small ganglion cyst in soft tissue of tendon sheath on back of big toe @ what is involved in post-op care.

Not: Very risky but as with any surgery could get infection, scar tissue. Since its small I imagine a few sutures bandage and surgical shoe for approx 2 weeks but without seeing it this is a guess. ...Read more

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Lateral ankle pain. MRI showed "moderate amount of fluid in flexor hallucis longus tendon sheath consistent with tenosynovitis." What does this mean?

The tendon is: Inflamed. It could be you have a small tear or irritation in the tendon. And the surrounding tissue called synovium of the tendon is swollen. ...Read more

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What can cause a fluid filled flexor tendon and what are some treatments? Recovery times?

What can cause a fluid filled flexor tendon and what are some treatments? Recovery times?

Tendinitis: How do you know the tendon is "fluid filled"? A tendinitis can have some swelling around the tendon that can be seen on ultrasound or mri. If there is a tear in the tendon this can happen too. Treatment would be nsaids and physical therapy first, followed possibly by a cortisone injection. If there is a tear it may need surgical repair. ...Read more

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I had flexor tendon surgery last week and my stiches are starting too look crusty and dis colored what does that mean?

I had flexor tendon surgery last week and my stiches are starting too look crusty and dis colored what does that mean?

Varies: There is some degree of drainage that can normally occur after surgery which can discolor the sutures and make them appear crusty. If you have concerns I would contact your surgeon and arrange a follow up appointment. ...Read more

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What's the probability of surgery of a high grade tear of the common flexor tendon at its insertion with partial tearing of the ucl and recovery time?

What's the probability of surgery of a high grade tear of the common flexor tendon at its insertion with partial tearing of the ucl and recovery time?

Likely: High grade means complete or nearly complete tear, for which surgery is usually recommended if the reading is in fact accurate. Approximately 6-8 week recovery time. ...Read more

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Think I hurt my flexor tendon again, how can I heal it?

Think I hurt my flexor tendon again, how can I heal it?

Buddy tape: Without seeing how bad your injury is, hard to say for sure. If you have avulsed the distal attachment to the finger bone (jersey finger), this needs to be seen by a surgeon, possibly hand specialist for opertive repair. You would have lost your ability to flex the finger at the tip. If it is still attached but just strained and has full function then you could buddy tape it for a few weeks. ...Read more

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How long will altered sensation last after a flexor tendon repair injury?

How long will altered sensation last after a flexor tendon repair injury?

Months: Most sensation will return within 3 months, but it can take longer. ...Read more

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High grade partial tear ucl and common flexor tendon what does this mean?

High grade partial tear ucl and common flexor tendon what does this mean?

Thumb or Elbow?: The ulnar collateral ligament (ucl) is a primary stabilizer to one of your thumb joints. It provides stability to the thumb when you pinch something between your thumb and index finger. It is injured when the thumb is bent backwards and outwards. It is unlikely that you injured the actual flexor tendon to the thumb but rather the insertion of some thumb muscles that attach near the ucl. ...Read more

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Is it normal to have altered sensation after a flexor tendon repair injury?

Is it normal to have altered sensation after a flexor tendon repair injury?

Maybe: With cuts deep enough to cut the tendon, one or both of the nerves in the finger could be cut or "bruised". If it felt normal after the injury, but before surgery, the feeling could be from swelling. ...Read more

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How quickly can a tendon scar after two flexor tendon surgeries?

How quickly can a tendon scar after two flexor tendon surgeries?

Immediately: Not exactly sure what you are asking but scar tissue forms fairly soon after any type of surgery. I am guessing you are concerned moreso with scar tissue that can be a problem after the surgery. Typically after flexor tendon surgery esp a 2nd one, you should be attending dedicated hand therapy which will help regain your motion and function safely, and limit the deleterious effects of scar tissu. ...Read more

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I'm a professional pitcher and I have a tear in my common flexor tendon of my throwing arm. Where is that located and how do I rehab that?

I'm a professional pitcher and I have a tear in my common flexor tendon of my throwing arm. Where is that located and how do I rehab that?

Tear: The tear is usually located near the elbow. You need to initially rest the elbow, avoid throwing, use an anti-inflammatory drug. Then start a graduated strength and throwing program if the pain is better. An MRI is needed for full diagnoses and guidance by a sports medicine specialist for treatment. ...Read more

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Jersey fng/fract distal phalanx. Barely able to bend DIP after injury. Ortho said just stiff, but after 1 wk, still cant. Possible torn flexor tendon?

Jersey fng/fract distal phalanx. Barely able to bend DIP after injury. Ortho said just stiff, but after 1 wk, still cant. Possible torn flexor tendon?

Jersey finger: Jersey finger is, by definition, injury to the flexor tendon attachment to the distal phalanx of the finger. If you are unable to flex the end joint of the finger at all, there may be a complete tendon tear, possibly requiring surgery. If there is a partial tear, a period of immobilization might be effective to get the tendon to heal. See http://orthoinfo. Aaos. Org/topic. Cfm? Topic=a00015 ...Read more

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Can you have nerve damage after having septic flexor tendon synovitis?

Can you have nerve damage after having septic flexor tendon synovitis?

After a severe: Case in a finger there may be a feeling of numbness associated simply with swelling and the resudual swelling. However with ischemia and prolonged pressure nerves may be affected though in the absencee of a sharp injury or a crush injury one may expect recovery. Severe forearm cases are different and may be associated with high pressures in the muscular compartments that could lead to more issue. ...Read more

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Could a deep cut on the volar side of the thumb cut the extensor tendon while leaving the flexor tendon intact?

No: The extensor tendon is on the dorsal or top side. A volar injury is likely to. Injure a flexor tendon or nerve. See a hand surgeon. ...Read more

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(labral tear-pt & injection haven't helped) surgeon wants to cut hip flexor tendon & repair labrum - is cut necessary? Will it create more problems?

(labral tear-pt & injection haven't helped) surgeon wants to cut hip flexor tendon & repair labrum - is cut necessary? Will it create more problems?

Depends: Depends somewhat based upon your problem. If it is only the label tear itself, then a repair would be sufficient. He seems to think you also have some pathology if the hip flexor itself, which very well may be the case. ...Read more

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How do you typically treat a high grade fluid filled oblique tear of the pronator, common flexor tendon in the elbow with a non-displaced fracture?

How do you typically treat a high grade fluid filled oblique tear of the pronator, common flexor tendon in the elbow with a non-displaced fracture?

Cast or surgery: Please seek evaluation and treatment from a board certified orthopedic surgeon. This injury might be treatable with immobilization in a cast or it might need surgical repair. ...Read more

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Had flexor tendon surgery 2 days ago & was prescribed norco (hydrocodone and acetaminophen) 5/325. 1st one I took worked, but now I feel severe nonstop pain, no relief. What can I do?

Had flexor tendon surgery 2 days ago & was prescribed norco (hydrocodone and acetaminophen) 5/325. 1st one I took worked, but now I feel severe nonstop pain, no relief. What can I do?

Speak with Surgeon: Recommend speaking with surgeon to discuss your pain issues. While pain may be normal after surgery, sometimes when pain increases above normal status, then evaluation may be needed to make sure no complications has arisen. He/she should also be able to direct you to adjust your medications as needed. ...Read more

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I ruptured a flexor tendon in my hand. See Ortho in 2 days. Taking diclofenac & bactrim (sulfamethoxazole and trimethoprim) for UTI. Vyvanse 50mg (ADHD) What can I take for pain?

I ruptured a flexor tendon in my hand. See Ortho in 2 days. Taking diclofenac & bactrim (sulfamethoxazole and trimethoprim) for UTI. Vyvanse 50mg (ADHD) What can I take for pain?

Diclofenac: Diclofenac is a non steroidal anti inflammatory medication. Take it 6 to 8 hrs up to three times a day. If it does not improve let the surgeon evaluate it. ...Read more

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Do you know any way to cure/ease a fibroma of the tendon sheath?

Do you know any way to cure/ease a fibroma of the tendon sheath?

Can try applying: Topical verapamil (transdermal). If this does not help excision is always a possibility. ...Read more

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Can you tell me of any way to cure/ease a "fibroma of the tendon sheath"?

Often by excision: Fibroma of tendon sheath is benign presenting as a small subcutaneous nodule slowly increasing in size. It may be seen in a multinodular growth pattern, composed of bland, spindle-shaped cells (myofibroblasts) in a dense, fibrous matrix. It nearly always arises in the distal portion of an extremity While benign, recurrence appears in up to 40% of case. Excision used to relieve symptoms but may be difficult due to adherence to tendon. ...Read more

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Can I play soccer with fluid around the tendon sheath anle injurie?

Rest: Fluid around a tendon sheath that is visible or you can feel indicates that the tendon is inflamed esp. If it hurts. Fluid often is seen on MRI of ankle and may not be clinically significant. If there are symptoms (pain, weakness, loss of function) do not play soccer till under care of doc and better. Rest is first line of treatment. ...Read more

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Whats' the difference between a tendon sheath tumor and soft tissue sarcoma?

Whats' the difference between a tendon sheath tumor and soft tissue sarcoma?

Benign vs malignant: A tendon sheath tumor could be a malignant sarcoma or a benign tumor (by definition not a sarcoma). ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more