RADIOGRAPHIC AND ULTRASONOGRAPHIC DIAGNOSIS OF

STENOSING TENOSYNOVITIS OF THE ABDUCTOR POLLICIS LONGUS

MUSCLE IN DOGS
KATHARINA M. HITTMAIR, VERONIKA GROESSL, ELISABETH MAYRHOFER

Stenosing tenosynovitis of the abductor pollicis longus muscle causes chronic front limb lameness in dogs. The
lesion, similar to de Quervains tenosynovitis in people, is caused by repetitive movements of the carpus. Thirty
dogs with front limb lameness, painful carpal flexion, and a firm soft tissue swelling medial to the carpus
were examined prospectively. Seven dogs had bilateral abductor pollicis longus tenosynovitis. Radiographs of
the carpus were characterized by a deeper radiolucent medial radial sulcus and bony proliferations medial
and slightly cranial to the distal radius, resulting in stenosis of the tendon sheath and subsequent tendinitis.
Ultrasonographic examination of the firm soft tissue swelling medial to the carpus was characterized by an
irregular hypoechoic abductor pollicis longus tendon or tendinitis in 22 of 37 dogs. Nineteen of 37 abductor
pollicis longus tendon sheaths were fluid-filled and all tendon sheaths were thickened, more hyperechoic, with
small hyperechoic mineralizations embedded in the connective tissue of the abductor pollicis longus tendon
sheath in 25 dogs. Enthesopathy of the abductor pollicis longus tendon was identified in seven dogs. While
radiographs of stenosing tenosynovitis of the abductor pollicis longus are helpful in visualizing the deep radial
sulcus and osteophytes medial to the distal radius, ultrasonography is useful to distinguish between lesions of
the tendon or tendon sheath and to determine thickness and fluid content of the abductor pollicis longus tendon
C 2012 Veterinary Radiology & Ultrasound.
sheath. 
Key words: abductor pollicis longus muscle, dog, stenosing tenosynovitis, ultrasound.

first metacarpal bone with an embedded sesamoid bone.7

The muscle is an abductor of the first digit, an adductor of
the carpus, and stabilizes the carpus medially.8
In humans, chronic tendovaginitis of the abductor pollicis longus was first described in 1895.9 The clinical symptoms included swelling and pain over the radial styloid
with reduced thumb motion caused by inflammation of the
synovial sheath of the abductor pollicis longus and extensor pollicis brevis muscle. The condition is referred to as
de Quervains disease or de Quervains tenosynovitis after
the author of this first published account. Tenosynovitis of
the abductor pollicis longus is a lesion with degeneration
of the synovial layer of the tendon sheath in conjunction
with thickening and fluid accumulation.10 Stenosing tendovaginitis occurs when ongoing friction causes fibrosis
and mineralization of the tendon sheath, thereby causing
pain and reduced function of the thumb.11, 12
Diagnostic imaging methods of de Quervains disease
in people include radiographs of the carpus, showing a
groove in the medial distal radius with sclerosis and small
osteophytes in the soft tissue swelling.13 Scintigraphy and
magnetic resonance imaging are also employed.13, 14 Ultrasonography is an efficient diagnostic tool for abductor pollicis longus tenosynovitis, as the fluid-filled tendon sheath

Introduction

hronic front limb lameness in mid-sized to large-breed

dogs with a firm swelling at the medial aspect of the antebrachiocarpal joint may be caused by stenosing tenosynovitis of the abductor pollicis longus muscle.16
Although the first digit of the front limb in dogs does
not appear to serve a purpose, it is provided with a strong
muscle and tendon. The abductor pollicis longus muscle
originates on the lateral surface of the radius and ulna and
the interosseous membrane. Its fibers blend into a strong
tendon toward the carpus, crossing the tendon of the extensor carpi radialis muscle, and passing into the medial sulcus
of the radius under the short medial collateral ligament. A
tendon sheath of varying length is located in this segment.
The tendon inserts medially on the proximal aspect of the
From the Department of Companion Animals and Horses, Diagnostic
Imaging Section, University of Veterinary Medicine, Veterinarplatz 1, 1210
Vienna, Austria (Hittmair, Groessl, and Mayrhofer).
Presented in part at the Annual Conference of the European Association of Veterinary Diagnostic Imaging in Naples, Italy, October 58,
2005.
Address correspondence and reprint requests to Katharina M.
Hittmair, at the above address. E-mail: katharina.hittmair@vetmeduni.
ac.at

Received April 1, 2011; accepted for publication September 21, 2011.

doi: 10.1111/j.1740-8261.2011.01886.x

Vet Radio & Ultrasound, Vol. 53, No. 2, 2012, pp 135141.

135

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HITTMAIR, GROESSL, AND MAYRHOFER

and fibrosis are readily appreciated.15, 16 The histopathologic appearance of the thickened abductor pollicis longus
tendon sheath in people is characterized by accumulation of
mucopolysaccharide and evidence of myxoid degeneration
and chondroid metaplasia.17
Stenosing tenosynovitis of the abductor pollicis longus
has been reported in dogs24 and treatment has been
evaluated.1 The dogs presented with chronic front limb
lameness and a firm swelling medial to the distal radius.
Flexion and rotation of the carpus caused pain.
Radiographs of the carpus in dogs with abductor pollicis longus tenosynovitis were characterized by a distinct distal radial sulcus, soft tissue swelling, and irregular mineralization located medial to the radial sulcus with
varying mineralization.15 Histopathologic evaluation of
these tendon sheaths reveal similar findings as in de Quervains disease with thickening and chondroid or osseous
metaplasia.1, 2, 4
Ultrasonography has been reported to be of little value as
a diagnostic tool for abductor pollicis longus tenosynovitis
in dogs.8 In a previous study, 59 abductor pollicis longus
tendons and tendon sheaths in 30 fresh cadaver large-breed
dogs were examined ultrasonographically and measured.6
The purpose of the present study was to determine the
value of ultrasonography in diagnosing tenosynovitis of
the abductor pollicis longus in dogs and to characterize the
ultrasonographic findings.

2012

FIG. 1. Diagram of the abductor pollicis longus tendon with transducer

positions (arrows). The tendon is black, surrounded by a light gray tendon
sheath. Transducer position 1: at the distal radial groove; transducer position
2: medial to the carpus, and transducer position 3: insertion on the first
metacarpal bone.

Materials and Methods

Thirty dogs presenting from 2001 to 2010 with chronic
front limb lameness, a firm swelling over the medial aspect
of the carpus, and painful carpal flexion were evaluated.
Survey radiographs were considered positive for abductor
pollicis longus tenosynovitis when a distinct distal medial
radial groove and/or osteophytes or enthesiphytes were
visible along the medial distal aspect of the radius or carpus.
These dogs were then examined ultrasonographically.
Breeds included five Golden Retrievers, two Labrador
Retrievers, two Collies, two Rottweilers, two American Staffordshire Terriers, eight mixed breeds, and one

Samoyed, German Shepherd, Munsterl

ander, English Setter, Pointer, German Longhair Pointer, Briard, English
Bulldog, and Australian Shepherd each. The dogs weighed
between 25 and 43 kg with a mean of 33 kg. The mean
age of the dogs was 6.5 years (range 0.512.2 years). There
were 15 male dogs, one neutered male, one female, and 13
neutered females. Fourteen dogs were companion animals,
seven were involved with agility training, and the remainder
were working dogs including five hunting dogs, two military dogs, one service, and one sled dog. Ten dogs had a
history of a previous injury to one of the front limbs.
Mediolateral and dorsopalmar radiographs of both distal front limbs were acquired. Radiographs were evaluated

for soft tissue swelling medial and dorsal to the carpus,

a distinct distal radial groove, and osteophytes or enthesophytes along the medial distal radius, carpus, and first
metacarpal bone.
Ultrasonographic evaluation of the abductor pollicis
longus tendon was performed using either a 105 MHz
or 157 MHz linear transducer. The region around the
distal medial radius, medial carpus, and mediopalmar first
digit was clipped. The dogs were in lateral recumbency with
the affected limb in a relaxed but extended position. Ultrasonography was also performed on the contralateral abductor pollicis longus in unilaterally affected dogs with the
same technique. The abductor pollicis longus tendon was
examined in a sagittal plane at three standardized points:
the distal radial groove, medial to the carpus, and at insertion on the first metacarpal bone (Fig. 1). Data collected
included the contours of the distal radius and radial groove,
tendon thickening with changes in echogenicity, presence
of anechoic fluid in the tendon sheath, thickness and calcification of the tendon sheath, and signs of an enthesopathy. The abductor pollicis longus tendon and tendon
sheath were measured at all three examination points. These
Philips

HDI 5000, Bothell, WA.

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STENOSING TENOSYNOVITIS ABDUCTOR POLLICIS LONGUS MUSCLE

137

TABLE 1. Radiographic and Ultrasonographic Evaluation of Abductor

Pollicis Longus Tenosynovitis (n = 37)
Radiography

Ultrasonography

35
31
37
6

36
(37)*
22
19
37
25
7

Deep radial sulcus

Osteophytes distal radius
Soft tissue swelling medial to carpus
Tendinitis
Fluid in tendon sheath
Tendon sheath thickening
Tendon sheath mineralization
Enthesopathy

Soft tissue swelling (ultrasonography) subdivided into lesions of the tendon and tendon sheath.

measurements were compared to previous data6 with a normal value of 1.21.9 mm for the tendon and <2.0 mm
for the tendon sheath. Measurements were also compared
to the nonaffected contralateral abductor pollicis longus
tendon. Abductor pollicis longus tendon thickening was
graded by using a 3-point scale according to the following
measurements: grade 0: normal, <2.0 mm; grade 1: mild
thickening, 2.0 to <2.5 mm; grade 2: moderate to severe
thickening, 2.5 mm. A 4-point system was used to evaluate tendon sheath thickening: grade 0: normal, <2.0 mm;
grade 1: mild thickening, 2.0 to <3.0 mm; grade 2: moderate thickening, 3.0 to <4.0 mm; grade 3: severe thickening,
4.0 mm.

FIG. 2. Comparative radiographs of the carpus, 8-year-old male Golden

Retriever, agility training. (A) Right carpus, dorsopalmar view. The distal
radial groove is radiolucent with radiopaque contours (arrows). Soft tissue
swelling is present medial to the carpus. The sesamoid bone at the abductor
pollicis longus insertion is visible (arrowhead). (B) Left carpus, dorsopalmar
view. Normal distal radius and carpus.

Results
A total of 37 carpi had lesions of the abductor pollicis
longus. Seven of 30 dogs (23%) had evidence of bilateral
abductor pollicis longus tenosynovitis, 10 (33%) had lesions
of the right abductor pollicis longus and 13 dogs (43%) had
changes on the left. Radiographic and ultrasonographic
findings are summarized in Table 1.
The nonaffected contralateral carpi (n = 23) were radiographically normal. A soft tissue swelling medial and
dorsal to the distal radius and carpus was visible on all
radiographs of affected limbs (37/37 = 100%). In 35 of
37 radiographs of the distal radius (95%), the medial sulcus was deeper than the nonaffected limb, appearing more
radiolucent with radiopaque contours (Fig. 2). Bony proliferations and osteophytes either in or around the radial
groove were seen in 31/37 carpi (84%). These osteophytes
were either singular in the groove or more extensive with irregular tubular proliferations extending beyond the styloid
process (Fig. 3). These bone formations were presumed to
be caused by ossification of the abductor pollicis longus tendon sheath. Enthesopathies of the abductor pollicis longus
were visible in 6 of 37 carpal radiographs (16%), recognizable as osteophytes and periosteal reactions at the medial
aspect of the proximal aspect of the first metacarpal bone.

FIG. 3. Radiographs of the left carpus, 5-year-old, male Golden Retriever,

hunting dog; dorsopalmar (A) and mediolateral (B) view. (A) Tubular bony
proliferations (arrowheads) are present distal to the radial groove (arrows)
surrounded by soft tissue swelling. (B) Bony proliferations are seen on the
craniodistal aspect of the radius (arrowheads) with soft tissue swelling.

Soft tissue swelling medial to the carpus and osteophytes

along the radial groove were seen in all of these dogs.
Ultrasonography of the carpal soft tissue swelling and the
abductor pollicis longus allowed distinguishing between lesions of the tendon and tendon sheath. In the nonaffected

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HITTMAIR, GROESSL, AND MAYRHOFER

FIG. 4. Ultrasound image of the normal abductor pollicis longus tendon of an 8-year-old male Golden Retriever, agility training; sagittal view,
transducer position 2, medial to the carpus (c). The parallel fiber pattern
is uniformly hyperechoic. The tendon is demarcated by a hyperechoic line,
the peritendineum. The surrounding tendon sheath is echogenic with a thin
hypoechoic to anechoic layer (double-headed arrows).

FIG. 5. Ultrasound image of abductor pollicis longus tendinitis, 5-yearold, male Golden Retriever, companion dog; sagittal view, transducer position 2, medial to the carpal bones (c). The tendon fiber pattern is irregular
and more hypoechoic (arrows).

contralateral abductor pollicis longus tendons (n = 23), the

tendon was uniformly hyperechoic with a parallel fiber pattern (Fig. 4). The peritendineum appeared as a hyperechoic
line demarcating the tendon. The mean tendon diameter
was 1.6 mm (1.31.8 mm), which was scored as grade 0
or normal. The tendon sheath was slightly echogenic with
a thin hypoechoic to anechoic line (synovial layer) parallel to the abductor pollicis longus. The abductor pollicis
longus tendon sheath had a mean thickness of 1.2 mm (0.9
1.8 mm) and was a grade 0 or normal.
In 22 of the 37 affected abductor pollicis longus tendons
(59%), the tendon was thickened and had an irregular fiber
pattern (Fig. 5). The overall echogenicity of the tendon was
slightly more hypoechoic. The lesions were diagnosed as abductor pollicis longus tendinitis. These tendons measured
from 2.0 to 3.0 mm, with 15 tendons scoring grades 1 and
7 with a grade 2 (Table 2). The remaining 15 of 37 ten-

2012

FIG. 6. Ultrasound image of abductor pollicis longus enthesopathy, 3.9year-old neutered female Collie, companion dog; sagittal view, transducer
position 3, insertion site. The abductor pollicis longus tendon has irregular
fibers and is hypoechoic (arrows) with no clear fiber pattern near its insertion
on the first metacarpal bone (mc I) and a hypoechoic to anechoic area. The
contours of the first metacarpal bone are irregular (arrowheads), the tendon
sheath is thickened (double-headed arrow).

dons had a mean thickness of 1.6 mm with a range of 1.3

1.9 mm and were scored a grade 0.
A similar tendon lesion was present at the insertion site
of the abductor pollicis longus in 7 of 37 dogs (19%). These
enthesopathies were characterized by irregular fibers of the
abductor pollicis longus tendon with a hypoechoic area
representing edema near the first metacarpal bone. The
contour of the proximal first metacarpal bone was irregular
with some osteophytes (Fig. 6).
In 19 of 37 affected abductor pollicis longus tendons
(51%), the tendon sheath was distended and contained
varying amounts of anechoic fluid surrounding the tendon (Fig. 7). In some instances, the fluid was visible as a
thin line, while others had extensive filling. The fluid-filled

TABLE 2. Ultrasonographic Scoring System of Adductor Pollicis Longus

Tendon Thickening (n = 37)

Grade 0
Grade 1
Grade 2

Tendon thickness

Number of tendons

<2.0 mm
2.0 to <2.5 mm
2.5 mm

15
15
7

FIG. 7. Ultrasound image of abductor pollicis longus tenosynovitis with a

fluid-filled tendon sheath, 8-year-old male Samoyed, sled dog; sagittal view,
transducer position 2. There is a large amount of anechoic fluid in the tendon
sheath (f). The abductor pollicis longus tendon is clearly outlined. A hypoechoic lesion is visible in the hyperechoic tendon (arrow) and there is no clear
fiber pattern due to tendinitis.

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139

TABLE 3. Ultrasonographic Scoring System of Adductor Pollicis Longus

Tendon Sheath Thickening (n = 37)

Grade 0
Grade 1
Grade 2
Grade 3

Tendon thickness

Number of tendon sheaths

<2.0 mm
2.0 to <3.0 mm
3.0 to <4.0 mm
4.0 mm

0
12
17
8

Discussion

FIG. 8. Ultrasound image of abductor pollicis longus tenosynovitis with

a thickened tendon sheath, 9-year-old male American Staffordshire Terrier,
companion dog; sagittal view, transducer position 2. An irregularly thickened, hypoechoic tendon sheath is visible (double-headed arrows).

tendon sheath was best visualized over the soft tissue

swelling, medial to the carpal bones.
All 37 abductor pollicis longus tendons (100%) had a
thickened tendon sheath (Fig. 8). The thickness of the abductor pollicis longus tendon sheath varied along the tendon with an irregular inner surface. The echogenicity of the
wider tendon sheath ranged from hypoechoic to a medium
echogenicity. In 25 of 37 thickened tendon sheaths (68%),
mineralization and small calcifications were identified as
hyperechoic foci in the distended tendon sheath with or
without distal acoustic shadowing (Fig. 9). Measurements
of the abductor pollicis longus tendon sheath ranged from
2.0 to 6.7 mm. Twelve tendon sheaths scored a grade 1, 17
a grade 2, and 8 thickened tendon sheaths were a grade 3
(Table 3).

FIG. 9. Ultrasound image of abductor pollicis longus tenosynovitis with a

thickened tendon sheath, 6-year-old male Rottweiler, military dog, transducer
position 2. The irregularly thickened tendon sheath has mixed echogenicity (double-headed arrows). There are small hyperechoic foci in the tendon
sheath (arrowheads).

Stenosing tenosynovitis or de Quervains disease in people is caused by repetitive movements of the wrist or overuse
of the thumb.18, 19 Besides work-related disorders affecting factory employees, de Quervains tenosynovitis may
also be caused by excessive knitting, rock climbing, playing a musical instrument, or using a computer mouse
or Blackberry.20, 21 The function of the abductor pollicis
longus in dogs is abduction and extension of the first digit
and medial stabilization of the carpus.7 The canine thumb
is a vestigial digit with only minimal movement. The cause
of abductor pollicis longus tenosynovitis in dogs is repetitive motion or overuse of the carpal joint.1 Of the 30 dogs
in this study, seven were involved with agility training and
nine were working dogs. In agility training, repetitive movements of the carpus are caused by quick turns, stops, and
jumping over obstacles. Working dogs, such as hunting,
sled, or military dogs, are also trained in this field. The
amount of exercise in the remaining 14 companion dogs
was not noted.
All dogs with abductor pollicis longus tenosynovitis were
large-breed dogs. In a previous study Boxers and German
Shepherds were overrepresented.5 Neither of these breeds
was present in this study. Eight of the 30 dogs (27%) were
mixed breeds and seven (23%) were Retrievers. Previous
reports on abductor pollicis longus tenosynovitis include a
German Shepherd,2 Golden Retriever,3 and Collie.4
In people, de Quervains tenosynovitis is diagnosed commonly in women.14 This is thought to be due to the smaller
diameter of the female hand, hormonal changes, and repetitive housework.19 In most instances, the dominant hand
is affected. In previous reports on stenosing tenosynovitis of the abductor pollicis longus in dogs, males were
overrepresented.1, 5, 6 We did not find this predominance,
with 16 of 30 dogs being male. A side predilection was also
not observed, and 7 of 30 dogs had bilateral tenosynovitis
of the abductor pollicis longus.
While radiographic changes of de Quervains disease in
people are limited to radiolucent areas in the distal radial
styloid with some soft tissue mineralization,13, 14 stenosing tenosynovitis of the abductor pollicis longus in dogs
was characterized by soft tissue swelling, a deep distal radial groove, bony proliferations along the abductor pollicis
longus tendon sheath, and enthesopathies. These findings
are consistent with those described in previous reports.16, 8

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HITTMAIR, GROESSL, AND MAYRHOFER

Enthesopathies at the origin of the straight part of the

short radial collateral ligaments should be considered as a
differential diagnosis for stenosing abductor pollicis longus
tenosynovitis.22 With these injuries, irregularities and new
bone formation are seen at the radial tubercle above the
styloid process. In the study, none of the dogs showed lameness of the front limb found with abductor pollicis longus
tenosynovitis.22 Other differential diagnoses for abductor
pollicis longus tenosynovitis include trauma, arthritis, and
neoplasia.23
Although ultrasonography was previously deemed to be
of limited value for abductor pollicis longus tenosynovitis,8
we found it to be useful. All dogs with front limb lameness
had a firm swelling medial to the carpus. With the help of
ultrasonography, these soft tissue swellings could be differentiated into those with fluid accumulation and those with
thickening of the abductor pollicis longus tendon, thickening of the abductor pollicis longus synovial sheath or all
three. Thickening of the abductor pollicis longus tendon
(n = 22) was scored a grade 1 in 15 dogs with measurements within 0.5 mm above normal. Seven dogs had a grade
2 score with the widest abductor pollicis longus tendon at
3 mm. The range of abductor pollicis longus tendon measurements was minimal, ultrasonographically a disrupted
fiber pattern and hypoechogenicity were more apparent.
In all dogs, tenosynovitis of the abductor pollicis longus
was found in conjunction with tendon sheath thickening.
Mild thickening or a grade 1 was found in 12 dogs, a grade
2 or moderate thickening was found in 17 dogs, and in
8 dogs the tendon sheath was severely thickened with measurements of up to 6.7 mm. The soft tissue swelling medial
to the distal radius and carpus seems to be due to abductor pollicis longus tendon sheath thickening. There was no
clinical correlation between the ultrasonographic scoring
system for the abductor pollicis longus tendon (Table 1)
and tendon sheath (Table 2) and the degree of lameness in
the dogs.
Small mineralizations within the tendon sheath wall, not
seen radiographically, were visualized ultrasonographically
as small hyperechoic foci. These mineralizations or fibroses
are caused by chronic inflammation and present with acoustic shadowing only when they exceed 23 mm.24 When more
extensive calcifications are present in the tendon sheath,
visualization of the tendon sheath and tendon may be impaired. Because of the ossifying tenosynovitis of the abductor pollicis longus near the distal radial groove (transducer
position 1, Fig. 1), the tendon and its sheath were not identified. The best imaging position was medial to the carpus
(transducer position 2).
Enthesopathies at the insertion of the abductor pollicis
longus tendon on the first metacarpal bone were visible
ultrasonographically. The tendon was distended with a hypoechoic area at the insertion and enthesiphytes appeared
as hyperechoic foci. These enthesopathies were associated

2012

with tendon as well as tendon sheath thickening. To evaluate the gliding motion of the abductor pollicis longus tendon in the tendon sheath, the first digit can be moved during
the ultrasound examination.
In people, ultrasonography is used to assess changes in
the size of the abductor pollicis longus and extensor pollicis
brevis tendons and to identify a septum between the two
tendons.15 The tendons are contained in the first extensor
compartment of the wrist, but are divided by a septum
in some patients. This provides useful information for the
surgical approach to release both tendon sheaths.
In previous histologic studies, abductor pollicis longus
tenosynovitis was not characterized by inflammation, but
rather by accumulation of mucopolysaccharide within the
fibrous tendon sheath in both people and dogs.1, 4, 17 In few
instances, lymphocytes were found within the connective
tissue, but not in the synovial lining. Signs of myxoid degeneration are considered characteristic of de Quervains
disease, which can lead to chondroid or osseous metaplasia
of the tendon sheath in both people and dogs. This condition is therefore not an inflammatory disease, and it has
been postulated that the term stenosing tenosynovitis is a
misnomer.17
Abductor pollicis longus tenosynovitis in human patients
is treated with intrasheath corticosteroid infiltration.25
When this is ineffective, surgical release of the tendons
or compartment reconstruction is performed.26, 27 In dogs,
acute abductor pollicis longus tenosynovitis is treated with
local methylpredinosolone injections medial to the distal
radius and carpus and the area is massaged.1 After immobilization, this treatment should be repeated. In chronic disease, surgical intervention is required with debridement of
the tendon sheath or resection of osteophytes.1, 4 Tenotomy
of the abductor pollicis longus tendon is also performed.1, 3
Complete resection of the first digit was reported in one
case.2 While rupture or resection of the abductor pollicis longus tendon does not impair thumb function in
people,28, 29 tenotomy in one dog leads to instability of the
carpal joint and osteoarthritis.1 It is unknown how much
medial support the abductor pollicis longus tendon provides the carpus and whether osteoarthritis developed from
other causes. Long-term follow-up examinations of dogs
with resected abductor pollicis longus tendons are needed
to prove the effects. Of the 30 dogs in this study, 16 were lost
to follow-up. Two underwent surgery with debridement of
the abductor pollicis longus tendon sheath and resection
of bony proliferations and were free of lameness 2 months
later. The remaining 12 dogs were treated with oral nonsteroidal anti-inflammatory drugs, methylprednisolone injections and 3 weeks of joint immobilization. Additionally,
the dogs were treated with shock wave therapy. All dogs experienced reduction or disappearance of the firm swelling
medial to the carpus, no pain on flexion of the carpus,
and lameness was not observed. One dog was reexamined

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STENOSING TENOSYNOVITIS ABDUCTOR POLLICIS LONGUS MUSCLE

ultrasonographically 2 months after treatment and had a

grade 0 tendon thickness (1.4 mm) compared to a previous
grade 2 (3.3 mm).
In summary, stenosing tenosynovitis of the abductor
pollicis longus in dogs is characterized by thickening and
mineralization of the tendon sheath. Characteristic radio-

141

graphic findings include soft tissue swelling medial to the

carpus, radiolucent distal radial groove, and bony proliferations that form a tunnel around the abductor pollicis longus
tendon. Ultrasonography proved useful in determining the
extent of the abductor pollicis longus lesion and scoring the
grade of tendinitis and tenosynovitis.

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