Orthopedics > OCOSH Classification > Muscular Diseases > Tendinopathy > Tenosynovitis > 2004 Infectious and Inflammatory Flexor Tenosynovitis eMedicine Orthopedics

< Previous | Next >

2004 Infectious and Inflammatory Flexor Tenosynovitis eMedicine Orthopedics

Visit Resource Review It Rate It Bookmark It

Location: http://emedicine.medscape.com/article/1239040-overview

Description: Flexor tenosynovitis (FT) is a pathophysiologic state causing disruption of normal flexor tendon function in the hand. A variety of etiologies are responsible for this process. Most acute cases of FT are the result of infection. However, FT also can be secondary to acute or chronic inflammation as a result of diabetes, overuse, or arthritis. Much of the original work on infectious FT was done by Kanavel. If a patient presents with the 4 Kanavel signs, septic FT is diagnosed. The 4 Kanavel signs are (1) finger held in slight flexion, (2) fusiform swelling, (3) tenderness along the flexor tendon sheath, and (4) pain with passive extension of the digit. The process has the ability to rapidly destroy a finger's functional capacity and is considered an orthopedic emergency.
Synonyms and related keywords: acute flexor tenosynovitis, flexor tendon sheath infection, flexor tenosynovitis, pyogenic flexor tenosynovitis, suppurative flexor tenosynovitis, septic flexor tenosynovitis
Likes & Ghidella 2004 Updated 2009

Type: Reference Material
Author/Contact: Likes & Ghidella
Institution: eMedicine
Primary Subject/Category:

Language: English

Submitted by: admin
Hits: 847
Added: Thu Apr 03 2008
Last Modified: Fri May 06 2011