Tenosynovial chondromatosis of the wrist: A case report

Hand Surg Rehabil. 2023 Jun;42(3):258-260. doi: 10.1016/j.hansur.2023.02.005. Epub 2023 Mar 17.

Abstract

We report the case of an 80-year-old woman who presented with an asymptomatic slowly growing mass in the dorsal aspect of her right wrist. Radiographs revealed a snail-shaped radiopaque structure. Surgical exploration and excision revealed a calcified lesion over the extensor digitorum communis. Histopathological analysis confirmed the diagnosis of tenosynovial chondromatosis. At the last follow-up, four years after surgery, the patient was asymptomatic and free of recurrence. Practitioners and hand surgeons should be aware of the dorsal involvement and evocative radiological calcifications of tenosynovial chondromatosis, which is a rare benign soft tissue neoplasm that affects all tendon sheaths of the hand.

Keywords: Benign neoplasms; Chondromatose ténosynoviale; Poignet; Tenosynovial chondromatosis; Tenosynovitis; Tumeurs bénignes; Ténosynovite; Wrist.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Chondromatosis* / pathology
  • Chondromatosis, Synovial* / diagnostic imaging
  • Chondromatosis, Synovial* / surgery
  • Female
  • Humans
  • Soft Tissue Neoplasms* / diagnostic imaging
  • Soft Tissue Neoplasms* / pathology
  • Soft Tissue Neoplasms* / surgery
  • Wrist
  • Wrist Joint / diagnostic imaging
  • Wrist Joint / surgery