J Korean Soc Surg Hand.  2014 Sep;19(3):154-158. 10.12790/jkssh.2014.19.3.154.

Hemangioma of the Flexor Digitorum Superficialis Tendon Sheath in the Hand

• Kim DH
• Jeong M
• Shim SB
• Lee JH
• Kim CK

• KMID: 2194138
• DOI: http://doi.org/10.12790/jkssh.2014.19.3.154

Abstract

Hemangioma is a common tumor which can occur in any part of the body. It can develop in any area the hand. Hemangioma of the hand usually presents with swelling, pressure pain, accompanied by motion restriction. Rarely it has throbbing pain. We report the case of a 21-year-old woman who had a hemangioma of flexor digitorum superficialis tendon sheath in second finger with restriction of motion and were treated by surgical intervention.

Keyword

Hemangioma; Tendon sheath; Flexor tendon

MeSH Terms

Female
Fingers
Hand*
Hemangioma*
Humans
Tendons*
Young Adult

Figure

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  Fig. 1. (A) Axial view T1-weighted image shows that the signal of the lesion is equivalent to that of adjacent soft tissues. And T2-weighted image shows slightly ill-defined, lobulating slightly high signal intensity mass at the volar aspect of the proximal to middle phalanges level. (B) Sagittal view T1-weighted image shows ill-defined mixed high signal intensity nodule at the proximal phalanx level. And T2-weighted image shows that the high signal mass exist between bone and flexor tendons at the proximal phalanx level.

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  Fig. 2. Intraoperative findings: the 2.9×0.6 cm sized fresh red tumor is identified between second proximal phalanx bone and flexor digitorum superficialis, and it is attached to tendon sheath and vincula longa distally.

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  Fig. 3. Histological photograph (H&E). (A) The specimen shows that it is a cavernous type hemangioma (×40). (B) Vascular spaces filled with erythrocytes and fibrin clot (×100).

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  Fig. 4. Postoperative photographs show full flexion and full extension of left second finger.

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