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    A case of multiple trigger digits of one hand
    (2017) Uzun, Erdal; Ekinci, Yakup; Ulusoy, Ersin Kasim; Yetis, Mehmet
    The trigger finger is a tenosynovitis that causes pain, stabbing and loss of function and occurs as a result of inflammation and hypertrophy in flexor tendon and tendon sheath at the level of A1 pulley. The annual incidence of the population is 28 / 100,000 and the risk of life-time is 2-3%. It can affect all fingers mostly involving the ring, middle fingers and the thumb. Trigger finger is more common in middle-aged women rather than men mostly with predisposing factors. The treatment consists of conservative and surgical treatment. A 74-year-old woman with no other illnesses except diabetes mellitus was presented with a single-handed, multiple-patterned, surgically treated trigger finger.
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    Palmar lipoma causing ulnar neuropathy
    (2017) Ekinci, Yakup; Uzun, Erdal; Yetis, Mehmet
    Lipomas are the most common benign soft tissue tumors arising from mesenchymal fibroadipose tissue. Often they are observed in the upper limbs, but especially deep palmar hand placement of these tumors is rare and they rarely create symptoms by compressing the surrounding tissue. 52-year-old female patient was admitted to our clinic with palpable stiffness, pain and numbness in his left hand palm. In her history it was learned that she had had an operation because of similar complaints in the same area about 8 months ago in another center. On radiologic examination, about 3 * 4 cm mass was detected surrounding the 5. metacarpal bone in the palmar area. The mass was excised due to clinical findings of neuropathy and ulnar nerve was freed. At follow-up neuropathic symptoms did not encounter and the patient was completely recovered without any complications.
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    Synovial hemangioma originating from the 4 th finger tendon sheath
    (2017) Uzun, Erdal; Ekinci, Yakup; Yetis, Mehmet
    Synovial haemangiomas are benign vascular lesions that originate from any synovial tissue, which may behave like locally aggressive. Haemangiomas developing in the hand in relation to tendon and the tenosynovium (tendon sheath) are very rare. Among the differential diagnosis for lesions of the hand, synovial hemangioma of the articular surface and tendon sheath is often overlooked due to its rare nature. A 49 year-old woman applied for a mass on her right dominant hand forth finger above the flexor tendon at the 4th metacarpophalangeal joint site is presented in this study. An ultrasonography was planned which confirmed a soft tissue lesion above the 4th flexor tendon at the 4th metacarpophalangeal joint site with appearance similar to giant cell tumour of the tendon sheath. After excision, the histopathologic analysis demonstrated tenosynovial haemangioma. The rare causes of finger masses should be considered also during the differential diagnosis. Local invasions and recurrence may be prevented with early surgical treatment and total excision of the lesion.