ePlasty: Vol. 19
Fibroma of the Tendon Sheath Arising From the Flexor Digitorum Superficialis Tendon
Mary M. Jordan, BS,a Ryan Accomazzo, BS,a Gabriel Gaweda, BS,a Richard S. Zeri, MD, FACS,b and Tom Reisler, MB ChB, BSc(Hons), MRCS(Ed)b

aDepartment of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC; and bDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC


Correspondence: tomre13@yahoo.com
Keywords: fibroma of the tendon sheath (FTS), giant cell tumor, neoplasm, ganglion cyst, lipoma

DESCRIPTION

A 23-year-old woman presented with a 1 year of slow-growing soft tissue nodule on the volar aspect of the base of the left index finger (Fig 1). Gradually, the mass begun to limit the finger mobility and associated occasional mild localized pain. Clinical examination revealed a firm swelling with deep fixation but no skin involvement. No evidence of finger triggering was present; however, there was palpable crepitus upon pressing against flexor A1 pulley when flexing and extending the index finger.

Figure 1. Preoper .......