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Results for “TENOSYNOVITIS”

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PubMed2001

Acute nonspecific flexor tenosynovitis in the digits.

Eight patients, aged 53 to 86 years (average, 63 years), with typical symptoms of acute infectious digital flexor tenosynovitis after excessive use of the hand were treated. No bacterial or crystal association was proven. In the two patients treated earliest, antibiotics were administered because of leucocytosis and a positive C-reactive protein (CRP) test result, but there was no improvement with this treatment. Surgical treatment relieved the symptoms in both these patients. In the other six patients, hand elevation and rest, as well as treatment with anti-inflammatory agents, resulted in complete resolution of the symptoms. Considering that the structure of the digital flexor tendon and the tendon sheath is similar to that of the synovial joint, the author suggests that the nonspecific tenosynovitis in this series could have been caused by overload on a flexor tendon system that had degenerated with age.

Aged↗
PubMed1989

Use of sonography in the early detection of suppurative flexor tenosynovitis.

Eighteen patients with swollen fingers suggesting acute suppurative tenosynovitis were studied by ultrasonography. All patients received intravenous antibiotics. Twelve patients required surgical drainage. Eleven of 12 patients had sonographic evidence of both a swollen tendon and fluid in the flexor sheath. Eleven of the 12 patients operated on had purulent fluid in the flexor sheath. Four of the operative cases were culture positive and four were culture negative. All six patients treated only with antibiotics had swollen tendons, but five of the six had no sonographic evidence of fluid in the flexor sheath. All patients had a full recovery. Sonographic evidence of fluid in the flexor sheath is a useful sign in the early diagnosis of acute suppurative flexor tenosynovitis.

Adult↗
PubMed1982

Staphylococcus aureus isolated from poultry in Australia. II. Epidemiology of strains associated with tenosynovitis.

Bacteriophage typing of Staphylococcus aureus from different outbreaks of tenosynovitis in broiler breeder replacement chickens showed that, although a mixture of phage types was present on affected farms, there was a predominant phage type isolated from lesions of affected chickens. The predominant phage type isolated from chickens in different outbreaks was variable. The source of S. aureus associated with tenosynovitis appeared to be a resident population present on the skin.

Animals↗
PubMed1993

Tuberculous fasciitis and tenosynovitis. An unusual presentation of miliary tuberculosis.

A case of miliary tuberculosis presenting initially as pyogenic fasciitis and tenosynovitis is described. The unusual presenting clinical features suggestive of a noninfectious inflammatory condition resulted in delayed diagnosis. Tuberculous fasciitis and tenosynovitis were diagnosed by the presence of acid-fast bacilli in histopathologic sections and confirmed by the growth of Mycobacterium tuberculosis from cultures of tissue specimens.

Fasciitis↗
PubMed2006

Recurrent granulomatous tenosynovitis of the wrist and finger caused by Mycobacterium intracellulare: a case report.

We report a 65-year-old man with tenosynovitis of the wrist and finger caused by Mycobacterium intracellulare. The diagnosis was made after subsequent recurrence, when a specimen of synovial fluid was subjected to specific polymerase chain reaction and mycobacterial culture. Synovectomy and susceptibility-guided antituberculous therapy permitted complete healing of tenosynovitis.

Aged↗
PubMed2005

Suppurative tenosynovitis and septic bursitis.

Suppurative tenosynovitis and septic bursitis are closed space infections of the musculoskeletal system. Appropriate antibiotics in combination with incision and drainage are generally recommended. Aggressive surgical management is particularly important in tenosynovitis to prevent tendon necrosis. Empiric antibiotic coverage should be directed toward staphylococci and streptococci. Patient characteristics and epidemiologic exposures may provide clues to unusual causative organisms that are occasionally encountered, such as Neisseria gonorrhoeae, Pasteurella multocida, atypical mycobacteria, fungi, and protothecosis.

AIDS-Related Opportunistic Infections↗
PubMed2005

Multiple unusual complications after extensive chronic sarcoid tenosynovitis of the hand: a case report.

Sarcoidosis is an idiopathic disease characterized by multiple noncaseating granulomatous nodules. Involvement of the hand is extremely uncommon and tenosynovitis of the hand is rare. We present a patient who developed sarcoid tenosynovitis of multiple digits involving both the flexor and extensor tendons. He also developed flexor tendon rupture, subchondral bone erosions, and multiple joint subluxations.

Adult↗
PubMed2007

Mycobacterium marinum as a cause of chronic granulomatous tenosynovitis in the hand.

OBJECTIVE: Mycobacterium marinum is an uncommon cause of chronic granulomatous flexor tenosynovitis and leads to significant morbidity in the hand. This paper aims to review our treatment of this infection and its clinical outcomes. METHODS: We treated five cases of M. marinum flexor tenosynovitis from 2001 to 2006, which were confirmed after 6 weeks of mycobacterial culture. RESULTS: All the patients were healthy immuno-competent hosts. There was a history of injury by a marine animal in each patient. Presentation was delayed at an average of 32.0 days after the injury. Excisional debridement was performed at an average of 63.4 days after the injury. The average number of debridements performed was 3.4. One patient had to undergo ray amputation to control the infection. The average duration of oral antibiotics was 15.4 weeks. Post-operatively, there were reductions in total active motion in all patients. CONCLUSION: A high index of suspicion, based on the history and intra-operative findings, is necessary when managing these patients. This infection runs a protracted course that requires multiple debridements and is associated with poor functional outcome.

Adolescent↗
PubMed2001

Peroneal tenosynovitis following ankle sprains.

Peroneal tenosynovitis has a variety of causes which include inversion injury of the ankle. It is rarely reported and frequently misdiagnosed. We report the operative findings and outcome of surgical decompression in 19 patients who clinically presented following inversion injury with features suggestive of peroneal tenosynovitis. A review of the literature of this pathology is presented.

Adult↗
PubMed1998

Miliary tuberculosis presenting as tenosynovitis in a case of rheumatoid arthritis.

A 77-year-old woman with a seropositive nodular rheumatoid arthritis and vasculitis, who was treated with high doses of corticosteroids and intravenous cyclophosphamide, developed miliary tuberculosis that was heralded by a tenosynovitis in her right wrist. A 1-year course of anti-tuberculous therapy resulted in complete resolution of the tenosynovitis and disseminated infection.

Aged↗
PubMed1981

Diffuse pigmented villonodular tenosynovitis of the ulnar bursa--a case report.

A case report of diffuse pigmented villonodular tenosynovitis involving the entire ulnar bursa and a review of the literature are presented. There have been few reports of the diffuse form of pigmented villonodular tenosynovitis involving the hand as compared to the localized nodular form, which is a common tumor of the hand. Complete tenosynovectomy of the involved areas is recommended.

Adolescent↗
PubMed1985

Candida albicans tenosynovitis of the hand.

Invasive fungal infections of the hand are extremely rare and usually require an immunocompromised host. We report the first known case of Candida albicans tenosynovitis of the hand presenting as a mass in a boy with Buckley's immunodeficiency. Treatment was successful after radical synovectomy of both the flexor and extensor aspects of the hand after he failed to respond to combined amphotericin B and 5-fluorouracil therapy. Fungal tenosynovitis should be considered when swelling and decreased range of motion occur in the hands or digits of an immunocompromised host, especially if pain is not a prominent symptom.

Amphotericin B↗
PubMed1986

Mycobacterium chelonei tenosynovitis of the hand: a case report.

We report an unusual organism, Mycobacterium chelonei, which causes digital tenosynovitis. Atypical mycobacterial infections of the hand are uncommon. The diagnosis should be suspected when there is persistent swelling or tenosynovitis, inconsistent with other inflammatory processes such as rheumatoid arthritis. Synovial biopsy specimen and appropriate cultures are necessary to confirm the diagnosis.

Adult↗
PubMed1987

Stenosing tenosynovitis in Dupuytren's contracture.

Patients with symptoms of stenosing tenosynovitis and clinical evidence of overlying Dupuytren's contracture were treated with localized total fasciectomy through multiple Y-V plasties and the excision of the A1 pulley of the affected digit. At operation the stenosing tenosynovitis could be separated into two categories--patients with external compression from contracting vertical septa or patients in whom the tendon constriction appeared unrelated to the overlying fascial disease.

Dupuytren Contracture↗
PubMed1987

Chronic tenosynovitis caused by Actinobacillus actinomycetemcomitans.

This is the first report of a patient with a history of painless chronic flexor tenosynovitis caused by Actinobacillus actinomycetemcomitans. The slow growth of the organism on culture makes early identification difficult. Flexor tenosynovitis along with proper antibiotic treatment resulted in complete resolution in this patient.

Actinobacillus Infections↗
PubMed1989

Suppurative extensor tenosynovitis caused by Staphylococcus aureus.

Suppurative tenosynovitis is a rare infection, occurring almost exclusively in the flexor tendon sheath as a posttraumatic event. We report the case of a systemically ill woman with suppurative tenosynovitis of the extensor tendons caused by Staphylococcus aureus. Early recognition of this unusual infection may prevent unnecessary morbidity.

Female↗
PubMed2000

Mycobacterium intracellulare as a cause of a recurrent granulomatous tenosynovitis of the hand.

We report a case of recurrent granulomatous tenosynovitis with M. intracellulare in a 55-year-old HIV negative diabetic woman. Identification of the causative agent further than belonging to the M. avium-intracellulare complex is provided by specific PCR-amplification of genomic DNA and sequencing of an hypervariable region within its 16S RNA gene. Sixteen months antibiotic regimen of rifabutin and clarithromycin led to a complete resolution of the tenosynovitis.

Female↗
PubMed1995

Aseptic tenosynovitis of the digital flexor tendon sheath, fetlock and pastern annular ligament constriction.

The anatomy of the digital flexor tendon sheath and related tendons and ligaments is described. Diagnosis and management of acute tenosynovitis and long-term tenosynovitis and associated tendon injuries are discussed, as well as the syndrome of stenosis of the fetlock canal (or fetlock annular ligament constriction) and palmar annular ligament constriction. Desmitis of the palmar annular ligament is also described.

Animals↗