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I'm having trouble with line 5 of this PMH:
2. Fibromyalgia. 3. Hypertension. 4. Enlarged liver. 5. s/l lepulley 2001. 6. Left CTR 2002. 7. BTL 1992.
It could be left something, but I can't think of anything, even shorthand, that would fit there.
Could it possibly be:
A1 pulley
left A1 pulley
Some people who start to develop carpal tunnel syndrome are first treated with an A1 pulley release, before they go the route of carpal tunnel release.
"Trigger thumb usually occurs idiopathically. It develops more frequently in individuals with diabetes and in patients with osteoarthritis. Trigger thumb is more likely to occur in an individual with any condition that causes proliferation of the tenosynovium, such as inflammatory arthritis, gout, or chronic infection (eg, fungus or atypical mycobacteria). Certain people appear more prone to tenosynovitic conditions; patients with trigger thumb are more likely to develop carpal tunnel syndrome and de Quervain disease. The roles of overuse and trauma in trigger thumb are controversial, although the condition does have a predilection for the dominant hand.
Triggering normally occurs when localized swelling of the flexor tendon at the level of the metacarpophalangeal (MP) joint causes the tendon to get caught under the A1 pulley of the flexor tendon sheath."