True Trigger Wrist and Carpal Tunnel Syndrome­ a Case Report and Review of Literature

Introduction: Association of triggering of wrist with carpal tunnel syndrome is rare and is mostly due to malformation of the belly of flexor digitorum superficialis. We report a case with ganglion arising from flexor tenosynovium causing trigger wrist and carpal tunnel Case Report: 60 year old female presented with swelling on the volar aspect of wrist with pain and numbness. The thenar muscles were atrophic and she complained of dyesthesia in the volar aspect of the thumb, index and middle fingers. Tinnels and Phalens test were positive. Intra operatively ganglion was 3x1 cm arising from the superficial common flexors. It was excised completely and patient recovered from all her symptoms within 4 months. Conclusion: Abnormal findings on palpation in wrist with triggering and carpal tunnel syndrome should alert the clinician to the possibility of a mass below the transverse carpal ligament, which in our case was a ganglion. Complete excision of the ganglion with carpal ligament release will be needed in these cases