What is a characteristic symptom of tenosynovitis?

What is a characteristic symptom of tenosynovitis?

The primary symptom of de Quervain tenosynovitis is pain along the thumb radial wrist that often radiates proximally and is typically gradual in onset. Pain is usually worse with power grip and weightbearing with the wrist in the neutral position.

How is flexor tenosynovitis diagnosed?

Infectious flexor tenosynovitis is an acute infection within the flexor tendon sheath. Diagnosis is suggested by Kanavel signs and confirmed with x-rays. Treatment is surgical drainage and antibiotics.

What happens if tenosynovitis goes untreated?

If tenosynovitis goes untreated, patients risk having the affected joint becoming stiff and having the tendon become permanently restricted. Avoiding repetitive movements can help to prevent tenosynovitis. Patients should also be sure to appropriately care for any wounds to the hands, wrists and feet.

What can you do for tenosynovitis?

Initial treatment of de Quervain’s tenosynovitis may include:

1. Immobilizing your thumb and wrist, keeping them straight with a splint or brace to help rest your tendons.
2. Avoiding repetitive thumb movements as much as possible.
3. Avoiding pinching with your thumb when moving your wrist from side to side.

How do you fix tenosynovitis?

Therapy

1. Immobilizing your thumb and wrist, keeping them straight with a splint or brace to help rest your tendons.
2. Avoiding repetitive thumb movements as much as possible.
3. Avoiding pinching with your thumb when moving your wrist from side to side.
4. Applying ice to the affected area.

What is the Kanavel sign of flexor tenosynovitis?

Kanavel sign of flexor sheath infection (pyogenic flexor tenosynovitis) is a finger held in slight flexed position, fusiform swelling of the affected digit, tenderness along the flexor tendon sheath, and pain with passive extension of the digit.

What are the signs of Kanavel’s disease?

Kanavel’s sign is a clinical sign found in patients with infection of a flexor tendon sheath in the hand (flexor tenosynovitis), a serious condition which can cause rapid loss of function of the affected finger. The sign consists of four components: the affected finger is held in slight flexion. there is fusiform swelling over the affected tendon.

What to do if you have flexor tenosynovitis?

Flexor Tenosynovitis (Kanavel’s Signs) It’s not unreasonable to get an x-ray to rule out other things and if there’s a fever or they seem very unwell, you can do blood cultures. You also probably want to start the patient on some broad spectrum antibiotics such as vancomycin + ciprofloxacin (or ceftriaxone).

What is the percentage of pyogenic flexor tenosynovitis?

Pyogenic flexor tenosynovitis comprises 2.5% – 9.4% of all hand infections 7) and is diagnosed primarily using four criteria described by Kanavel in the 1930s (Table 1) 8). In one large series, pyogenic flexor tenosynovitis was reported to represent 9.4% (13/138) of hand infections 9).