User:Mr. Ibrahem/Tenosynovitis
Tenosynovitis | |
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Other names | Tendinitis, tendovaginitis, tendinosis[1] |
A case of congenital trigger finger, a type of tenosynovitis, in a 3 year old | |
Specialty | Plastic surgery, orthopedics |
Symptoms | Pain, swelling, inability to fully straighten the joint.[2] |
Types | Infectious, noninfectious (de Quervain tendinopathy, intersection syndrome, trigger finger)[2][1] |
Differential diagnosis | Felon, joint infection, herpetic whitlow, cellulitis[3] |
Treatment | Based on cause[2] |
Tenosynovitis is inflammation of a tendon and it fluid-filled sheath.[2] Symptoms typically include pain, swelling, and inability to fully straighten the joint.[2] Tendons in the hand, wrist, and foot are most commonly affected.[2]
Tenosynovitis may be infectious or noninfectious.[2] Infections may occur due to injury, such as a cut or bite, or spread from elsewhere in the body.[2] Noninfectious types include de Quervain tendinopathy, intersection syndrome, and trigger finger (stenosing tenosynovitis).[1] Risk factors for the noninfectious types include overuse, rheumatoid arthritis, and psoriasis.[2]
Cases due to infection of the flexor tendons require rapid treatment.[3] Mild cases may be managed with intravenous antibiotics and splinting; while more severe cases also require surgery.[3] Noninfectious types may be treated with NSAIDs, splinting, or corticosteroid.[1][2] Up to 3% of people may have trigger finger.[2]
References[edit]
- ^ a b c d Travis, D Blood; Nathan T, Morrell; Arnold Peter, C Weiss (29 March 2016). "Tenosynovitis of the Hand and Wrist". Journal of Bone and Joint Surgery. 4 (3): e71–e78. doi:10.2106/JBJS.RVW.O.00061. PMID 27500430. S2CID 29942149.
- ^ a b c d e f g h i j k Ray, G; Sandean, DP; Tall, MA (January 2022). "Tenosynovitis". PMID 31335044.
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(help) - ^ a b c Hermena, S; Tiwari, V (January 2022). "Pyogenic Flexor Tenosynovitis". PMID 35015439.
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