EIP Syndrome is not a common syndrome, very less reports of this syndrome are present in literature. In EIP syndrome pain affects the function of hand. We report a case of EIP syndrome as the first case reported in literature in Pakistan.
As 32 years old patients reported to OPD with pain on the dorsal aspect of wrist for the last 6 months. Pain increased on heavy physical work by and. On examination slight swelling and moderate tenderness was noted on 4`h dorsal tendon compartment .before coming to us this patient underwent different modalities of treatment including NSAIDS, fomentation, local anti-inflammatory application steroid injections and wrist immobilization. The pain increased on flexion of metacarpophalangeal joints in flexed wrist position. Pain also increased when the patient flexed the wrist and extended metacarpophalangeal joint of the index finger against resistance. At surgery thick musculotendinous portion of EIP was noted in the thick rigid confines of tendon sheath. The protruded muscle belly of EIP was of normal colour and consistency. The muscle belly appeared slightly hypertrophied. The protrusion of this muscle belly in the fourth compartment increased on simultaneous full flexion of metacarpophalangeal and wrist joints. Slight tenosynovitis of EIP was noted. Retinaculum roof of the 4th extensor compartment was incised. Patient was pain free and after fourth postoperative month patients was able to perform heavy physical work with the hand without nay pain. No bowstring or subluxation of any extensor tendon was present on wrist or fingers extension.
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