Contents

Search

tenosynovitis

Etiology: - skin flora, Staphylococcus aureus - may be associated with rheumatoid arthritis - Mycobacterium avium Complex (case report [4]) Pathology: - inflammation the synovial sheath of a tendon Clinical manifestations: - common in finger flexors - finger held in slight flexion - pain with passive extension of digit - tenderness along flexor tendon sheath - presents as a diffuse swelling between the joints (fusiform swelling) Radkolgy: - magnetic resonance imaging (case report [4] Complications: 1) loss of function 2) rupture of tendon Management: 1) admit for inpatient care - consult hand surgeon 2) immobilization 3) warm soaks 4) non-steroidal anti-inflammatory agents (NSAIDs) 5) corticosteroid injections into tendon sheath 6) if due to infection - IV antibiotics - surgical incision & drainage may or may not be needed [5]

Related

arthritis tendonitis (tendon injury)

Specific

de Quervain's tenosynovitis (stenosing tenosynovitis)

General

synovitis

References

  1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
  2. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 823-24
  3. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013 - Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
  4. Kreutz-Rodrigues L, BakriL K Tenosynovitis Due to Mycobacterium avium Complex N Engl J Med 2019; 381:2461. Dec 19. PMID: 31851802 https://www.nejm.org/doi/full/10.1056/NEJMicm1901520
  5. Cimino-Fiallos N 14 Can't-Miss Hand Emergencies Medscape. March 5, 2021 https://reference.medscape.com/slideshow/hand-emergencies-6010180