Flexor tenosynovitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Kanavel's Signs: | |||
#Percussion tenderness | #Percussion tenderness | ||
##Tenderness over entire length of flexor tendon sheath | ##Tenderness over entire length of flexor tendon sheath | ||
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==See Also== | ==See Also== | ||
[[Hand Infection]] | *[[Hand Infection]] | ||
==Source== | ==Source== | ||
Revision as of 19:15, 28 February 2012
Background
- Surgical emergency; flexor sheaths are contiguous w/ deep spaces of the hand
- Usually associated with penetrating trauma
Clinical Features
- Kanavel's Signs:
- Percussion tenderness
- Tenderness over entire length of flexor tendon sheath
- Uniform swelling
- Symmetric finger swelling along length of the tendon sheath
- Pain w/ passive extension
- Flexion posture
- Flexed posture of involved digit at rest to minimize pain
Treatment
- Antibiotics
- Start immediately
- Vanco 1gm IV q12hr + (ampicillin-sulbactam 1.5gm IV q6h OR cefoxitin 2gm IV q8h OR piperacillin/tazobactam 3.375gm IV q6h)
- Consult hand surgery in the ED
See Also
Source
- Tintinalli