Episode 126.0 – Flexor Tenosynovitis - a podcast by Core EM

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







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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.



Infographic



by Dr. Y. Jay Lin

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: Pyogenic Flexor Tenosynovitis

Ped EMMorsels: Flexor Tenosynovitis





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