The problems with the FCR tendon can be within the tunnel (where it occupies 90% of the space). The presenting problems can be as a result of constriction, tendinitis, or rupture
or proximal to the tunnel where it is more prone to mechanical irritation from osteophytes.
The patient can present with volar/radial sided wrist pain and the provocative test is resisted wrist flexion.
Treatment: Conservative management is immobilisation and ultrasound guided cortisone injection.
Surgery = very rarely need surgery.
If surgery is needed, this is to release the FCR tendon.
You don’t really need FCR functionally (often used for tendon graft for other procedures). Degenerations/tendon attrition generally don’t do well with a repair.
If you are suffering from FCR Tenosynovitis and would like it examined by one of our fully qualified therapists, please call us at Melbourne Hand Therapy today (03) 9899 8490 or leave an enquiry and we will get back to you as soon as possible.