In 1979, Linburg and Comstock identified an abnormal connection between two tendons in the hand causing difficulty in flexing the thumb joint without also flexing the index finger joint. This condition leads to symptoms of thumb-index flexor tenosynovitis, known as Linburg-Comstock Syndrome.
A 14-year-old female with pain and discomfort sensation on her left hand following a hand injury. Initially, there was no significant complaint. Physical examination revealed tenderness in the wrist and an anomaly during finger flexion. Surgery was performed suspecting tendon adhesion.
During surgery, a fibrous connection between two tendons was discovered confirming the diagnosis of Linburg-Comstock Syndrome. The WALANT technique allowed for accurate identification and management of the tendinous connection. The patient experienced immediate pain relief and improved hand function leading to a better quality of life.
This case highlights the possible cause of acquired Linburg-Comstock Syndrome. The WALANT technique showcased its benefits in real-time assessment, reduced anesthesia risks, postoperative functionality evaluation, and early discharge. Sharing this case contributes to our understanding of this syndrome and promotes the use of the WALANT technique in similar cases.
