Core EM - Emergency Medicine Podcast

Episode 126.0 – Flexor Tenosynovitis

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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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