What causes pyogenic flexor tenosynovitis?

What causes pyogenic flexor tenosynovitis?

Pyogenic flexor tenosynovitis is an orthopedic emergency most commonly caused by Staphylococcus aureus and streptococci and occasionally, when associated with water exposure, Mycobacterium marinum.

What is tenosynovitis and how is it caused?

Tendinitis is when something — injury, illness, repeated motion — inflames one of your tendons, the cords of tissue that hold muscle to bone. When it also irritates the sleeve of tissue, or sheath, around the tendon, you have tenosynovitis.

How do you fix tenosynovitis?

De Quervain’s tenosynovitis treatment

  1. Applying heat or ice to the affected area.
  2. Taking a nonsteroidal anti-inflammatory drug (NSAID).
  3. Avoiding activities that cause pain and swelling.
  4. Wearing a splint 24 hours a day for 4 to 6 weeks to rest your thumb and wrist.

How is flexor tenosynovitis diagnosed?

Diagnosis of Infectious Flexor Tenosynovitis Flexed resting position of the digit. Fusiform swelling. Tenderness along the flexor tendon sheath. Pain with passive extension of the digit.

What is pyogenic flexor tenosynovitis?

Flexor tenosynovitis. In pyogenic flexor tenosynovitis a bacterial infection proliferates in the tendon sheath of the finger. It is a painful condition that requires urgent treatment if future hand function is to be maintained.

Can diabetes cause flexor tenosynovitis?

Majority of the cases of flexor tenosynovitis are infectious in nature; however, flexor tenosynovitis can also occur due to inflammation from noninfectious causes, such as overuse, diabetes and arthritis. The exact cause of flexor tenosynovitis is not clear. Individuals with diabetes are at an increased risk for developing this condition.

What are the Kanavel’s signs of flexor tenosynovitis?

In case of Infectious Flexor Tenosynovitis, patient has the Kanavel’s signs which are: 1 There is fusiform swelling of the finger (sausage finger). 2 The finger is held or bent in a slightly flexed position. 3 Patient feels pain with passive extension of the affected digit. 4 There is tenderness present along the flexor tendon sheath.

What are the treatment options for Flexor tenosynovitis (flexor tendonitis)?

Patient suffering from flexor tenosynovitis is started on antibiotics. Corticosteroid injections can be given to help relieve the inflammation of the flexor tendon. Rest is important to relieve pain and inflammation of the flexor tendon.

author

Back to Top