FIBROMATOSIS OF THE FLEXOR POLLICUS LONGUS TENDON

Fibromatosis of the flexor pollicus longus tendon

Fibromatosis of the flexor pollicus longus tendon

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An unusual case of fibromatosis of the dominant left Tatami Chair flexor pollicus longus (FPL) in a thirteen year old schoolboy.Initially presenting with pain in the thenar eminence and difficulty flexing the metacarpal phalangeal joint (MPJ), other symptoms include locking, triggering and difficulty writing.MRI showed a 4cm segment of thickened abnormal tendon.Intra-operatively three 1cm nodules were excised from the FPL while preserving the tendon.Histopathology reported the nodules as fibromatosis.

A literature search revealed that this has not previously been reported Culinary Torches although symptomatic tendon sheath fibromas have.Our patient achieved a good result following surgical intervention and the two year review has shown no complications.

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