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- W2125292079 abstract "A 42-year-old Caucasian male warehouse worker had had increasing weakness of the right hand for 6 months. It was ac companied by difficulty with fine movements and a hand thinner in appearance. Two years previously, after several months of mild weakness, an operation on the dorsal ulnar aspect of the wrist had disclosed a solid lesion which was removed piecemeal. The lesion was diagnosed as a giant cell tumor of tendon sheath. Full function returned and persisted until the present episode. Upon examination, there was ulnar intrinsic atrophy in the hand, and the grip was diminished. Tinel's sign could not be elicited. Electromyographic studies showed poly phasic po tentials in the first dorsal interosseous and the abductor digiti quinti muscles, with sensory conduction delayed across the wrist. There was mild hypesthesia in the ulnar distribution. Exploration disclosed a slightly compressible mass produc ing a I cm bulge into the floor of the ulnar tunnel. The ulnar nerve was splayed out over the mass and pushed palmarward and medially just distal to its division into superficial and deep branches (Fig. I). The solid, yellowish-brown tumor ex tended laterally to the triquetrum and deep to the hypothenar muscles and was approximately 2 by 3 cm in size. Use of part of the previous dorsal wrist incision allowed complete remov al. Histologic examination confirmed the diagnosis of giant cell tumor. Healing was uneventful. One week after operation, sensibility had improved, and at 5 weeks after operation there was no difference, as compared with the left hand. At 10 weeks there was good abductor digiti quinti function, though the first dorsal interosseous was weak. The patient returned to his regular work at this time. Full strength and function were noted at 8 months, and there was no evidence of muscular atrophy. He was asymptomatic I year following the operation." @default.
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- W2125292079 date "1978-03-01" @default.
- W2125292079 modified "2023-09-26" @default.
- W2125292079 title "Ulnar tunnel syndrome from giant cell tumor of tendon sheath: A case report" @default.
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- W2125292079 doi "https://doi.org/10.1016/s0363-5023(78)80071-9" @default.
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