This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis


https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_126_0_Final_Cut.m4a



Download


Leave a Comment





Tags: Hand, Kanavel Signs, Orthopedics, Soft Tissue Infections





Show Notes
Take Home Points


Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs:

Tenderness along the course of the flexor tendon
Symmetrical swelling of the finger - often called the sausage digit
Pain on passive extension of the finger and
Patient holds the finger in a flex position at rest for increased comfort


Give antibiotics to cover staph, strep and possibly gram negatives.
Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention.


Read More
Mailhot T, Lyn ET: Hand; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 50: p 534-571
OrthoBullets: