flexor Tenosynovitis

Question 1

Infec of fibrous flexor tendon sheath

Answer 1

Reduc BS and adhesions reduc flexion so is emerg.
Commonly Sa. Suppurative.
Hand function eg pinch, grasp, hook all req flexion.

Question 2

Hx

Answer 2

Lof
Injury
Pain
Swelling
Duration- fast tx more succ
Systemic illness- sepsis

Question 3

Examination

Answer 3

Kanavels sign:

• generalised fusiform swelling finger
• pain on passive extension due to inflamm
• held in felxion as space invaded to accomm swelling
• tender when tap along sheath to test spread to other fingers or wrist

Question 4

Mx

Answer 4

Incision and drain
IV AB
Splint finger in flexion as stiffness in felxion better function
Physio