This week we discuss the uncommon but must make diagnosis of flexor tenosynovitis
Core EM - Emergency Medicine Podcast Episode 126.0 – Flexor Tenosynovitis
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Dec 18, 2017 This discussion dives into the rare but essential diagnosis of flexor tenosynovitis. The hosts humorously introduce vital signs like tenderness and the infamous 'sausage digit' look. They differentiate it from cellulitis through a case study, stressing accurate diagnosis for optimal recovery. Key treatment strategies include administering targeted antibiotics and the need for surgical consultation. Their engaging take on symptoms and management makes this clinical topic both informative and entertaining!
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Anand's Flexor Tenosynovitis Case
- Anand Swamy Nathan shares a case of a diabetic woman with left third digit redness, swelling, and pain without trauma.
- Initially thought to be cellulitis, but clinical signs pointed to flexor tenosynovitis requiring careful evaluation.
Deep Infection Requires Surgery
- Flexor tenosynovitis is a deep infection of the flexor tendon sheath, unlike superficial cellulitis.
- It often requires surgical management to prevent morbidity and loss of finger function.
Diagnostic Kanavel Signs
- Look for Kanavel signs: tenderness along the flexor tendon, symmetrical finger swelling, pain on passive extension, and finger held in flexion.
- Pain on passive extension is most important to help clinch the diagnosis.
