Pyogenic flexor tenosynovitis (FTS) is a rapidly progressing infection of the flexor tendon sheath synovial fluid. Bacterial seeding most often occurs from trauma overlying the sheath followed by swift proximal propagation. FTS is an uncommon but high morbidity disease that emergency physicians must identify early to prevent devastating complications such as tendon rupture, digit necrosis, and sepsis. Here, we report a case of FTS that occurred in an immunocompetent 82-year-old female approximately 48 h after a fingerstick glucose test.
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Pyogenic flexor tenosynovitis resulting from a fingerstick glucose test.
Am J Emerg Med
February 2025
Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Electronic address:
Pyogenic flexor tenosynovitis (FTS) is a rapidly progressing infection of the flexor tendon sheath synovial fluid. Bacterial seeding most often occurs from trauma overlying the sheath followed by swift proximal propagation. FTS is an uncommon but high morbidity disease that emergency physicians must identify early to prevent devastating complications such as tendon rupture, digit necrosis, and sepsis.
View Article and Find Full Text PDFOperative Versus Nonoperative Management of Pyogenic Flexor Tenosynovitis: An Analysis of the National Readmissions Database.
J Hand Surg Glob Online
January 2025
Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL.
Purpose: The purpose of this study was to use a national database to determine if either surgical or nonsurgical management of pyogenic flexor tenosynovitis (PFT) led to specific superior outcomes.
Methods: International Classification of Diseases, Tenth Revision codes were used to identify patients admitted with PFT from the National Readmissions Database for the years 2016-2019. All patients had been admitted initially and treated with either surgical or nonsurgical management.
Facial Fat Grafting Cannula: A Tool to Facilitate Closed Irrigation in Flexor Tenosynovitis.
Plast Reconstr Surg Glob Open
January 2025
From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN.
Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the hand's flexor tendon sheath that necessitates timely diagnosis and treatment. The treatment consists of antibiotic therapy often combined with prompt surgical treatment. The most common surgical approach is the closed irrigation technique, which involves inserting a 16-gauge angiocatheter in the proximal aspect of the flexor tendon sheath, leaving the distal end of the Brunner incision open during the irrigation process.
View Article and Find Full Text PDFThe Kanavel Sign Revisited.
JMA J
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Armed Forces Hospital, and Catholic University, Brasília-DF, Brazil.
Article Synopsis
- * It emphasizes that extra pulmonary tuberculosis can present in unusual ways, which might lead to misdiagnosis if not considered in the differential diagnosis, especially in the bones of the limbs.
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