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Results for “TENOSYNOVITIS”

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PubMed1999

[An uncommon occupational accident: tuberculous tenosynovitis of the extensor tendons of the hand].

We present a case of tuberculous tenosynovitis of the extensor tendons of the hand. Our patient was a young doctor working in the respiratory medicine department. He was injured on the dorsal aspect of the hand with a needle used for pleural aspiration. The clinical features consisted of gradually swelling, mild pain and stiffness of the metacarpophalangeal joint. The diagnosis was made after synovectomy. Histological and bacteriological examinations revealed tuberculosis. Treatment consisted of synovectomy and appropriate antibiotics. The clinical course was excellent after one year follow-up. Tuberculous tenosynovitis of the hand is a rare manifestation of extrapulmonary tuberculosis occurring in fewer than 5% of all cases of skeletal tuberculosis. Thickening of the tendon or synovial sheath and local accumulation of fluid are the characteristic manifestations. The diagnosis must be confirmed by surgical biopsy. Antibiotics and synovectomy achieve a good functional result.

Antibiotics, Antitubercular↗
PubMed2001

"Postpartum/newborn" de Quervain's tenosynovitis of the wrist.

De Quervain's tenosynovitis is a common wrist ailment involving the abductor pollicis longus and extensor pollicis brevis tendons of the first dorsal compartment. Etiology is thought to be overuse or trauma. The specific entity of "postpartum/newborn" de Quervain's tenosynovitis has not been described in the orthopedic literature. Affected individuals in the setting of infant care tend to be younger (33 years) and to have bilateral involvement; they may or may not be the birth mothers. Nonoperative treatment was successful in most (77%) of the postpartum/newborn cases reviewed here; operative treatment was successful in the rest.

Adult↗
PubMed1992

Acute gonococcal flexor tenosynovitis in an adolescent male with pharyngitis. A case report and literature review.

A 15-year-old boy had acute gonococcal flexor tenosynovitis of the middle finger associated with symptomatic gonococcal pharyngitis. The patient had a history of blunt trauma to the hand. The need for a careful history in any sexually active adolescent is emphasized. Acute flexor tenosynovitis may be the only manifestation of disseminated gonococcal infection.

Acute Disease↗
PubMed2004

Mycobacterium marinum causing tenosynovitis. 'Fish tank finger'.

Mycobacterium marinum is an unusual atypical mycobacterium with low pathogenicity for humans in comparison with Mycobacterium tuberculosis. Among the non-tuberculous mycobacterial pathogens, Mycobacterium marinum is the most common pathogen to cause skin infections. Mycobacterium marinum infection causes chronic cutaneous lesions and in some cases deeper infections such as tenosynovitis, septic arthritis and rarely osteomyelitis. We report the case of a male patient presenting with tenosynovitis of the distal upper extremity secondary to Mycobacterium marinum infection.

Diagnostic Errors↗
PubMed2004

Disseminated Prototheca wickerhamii infection with arthritis and tenosynovitis.

Achloric algae of the Prototheca species are a rare cause of infection in humans. These infections are usually localized to the skin, olecranon bursae, and tendon sheaths of the hands and wrists. Our patient with acquired immunodeficiency syndrome and a chronic Prototheca wickerhamii skin infection of the hand developed tenosynovitis and arthritis of his ankle in the setting of a documented algemia. This is the first reported case of protothecal arthritis and tenosynovitis resulting from hematogenous dissemination. The reported musculoskeletal manifestations of protothecal infections are reviewed.

AIDS-Related Opportunistic Infections↗
PubMed2006

[Osteoid osteoma of the wrist joint resembling tenosynovitis].

Osteoid osteoma of bones of the wrist joint is a relatively rare lesion. This article presents a series of three patients, one with osteoid osteoma of the styloid process of the radius and two with osteoid osteoma of the capitate bone. All of them had clinical symptoms resembling those of stenosing tenosynovitis of the wrist joint. X-rays, tomography and bone scan revealed the characteristic findings of osteoid osteoma. Histological examination confirmed the diagnosis. Treatment consisted of "en bloc" excision of these tumors. Following surgery patients were asymptomatic and had normal mobility of the affected wrist. In the first patient this has been maintained for the succeeding 27 years. It is suggested that in any case of persistent unexplained pain of the wrist or clinical symptoms resembling those of tenosynovitis, osteoid osteoma of the styloid process of the radius or of the carpal bones should also be included in the differential diagnosis. The recommended treatment of osteoid osteoma is "en bloc" excision of this tumour in the affected bone, resulting in complete relief of pain and absence of functional disturbances.

Bone Neoplasms↗
PubMedDate not supplied

Infectious tenosynovitis (viral arthritis): characterization of a Connecticut viral isolant as a reovirus and evidence of viral egg transmission by reovirus-infected broiler breeders.

Connecticut isolant S1133 of tenosynovitis was characterized as a reovirus by physicochemical, biological, and morphologic studies. After inoculation of 35-week-old broiler breeders with tenosynovitis virus by subcutaneous route, virus was found in embryos of eggs laid by the breeders during a period of 8 to 12 days after inoculation.

Animals↗
PubMed1991

Limited open-tendon-sheath irrigation in the treatment of pyogenic flexor tenosynovitis.

A retrospective review of 27 patients (28 fingers) with pyogenic flexor tenosynovitis, who were treated by a limited, open-tendon-sheath, intermittent-irrigation method that utilized a small pediatric feeding catheter, was conducted. The cases were subcategorized into three stages, based on the intraoperative appearance of the wound. Our results were 100% excellent in stage I; and 88.4% excellent, 5.8% good, and 5.8% fair in stage II. This method proved effective for the surgical management of pyogenic flexor tenosynovitis.

Adolescent↗
PubMedDate not supplied

Infectious tenosynovitis in commercial White Leghorn chickens.

Infectious tenosynovitis was diagnosed in three separate outbreaks in a commercial White Leghorn hens, though not previously reported in adult White Leghorns (3). Clinically affected flocks had decreased production and increased daily mortality, with many hens showing signs of the so called "cage-fatigue bluecomb" syndrome. Most sick birds had lesions typical of infectious tenosynovitis, with pronounced cyanosis and dehydration. Dead birds had signs of acute septicemia. The course of the disease (about 8 weeks) was not altered by the medicinal regimens tried. Young laying-age flocks were most seriously affected. Production losses averaged 15 to 20%, and mortality reached 5% per month during the recovery phase.

Animals↗
PubMed1991

Detection of flexor tenosynovitis by magnetic resonance imaging: its relationship to diurnal variation of symptoms.

Fifteen patients with noninfectious arthritis and morning stiffness were examined clinically, and with magnetic resonance imaging (MRI) at the metacarpophalangeal level of one hand in the evening and early the following morning. Our purpose was to determine the prevalence of hand flexor tenosynovitis, and to look for diurnal changes in the swelling state of the flexor tendon sheaths as a possible cause for morning stiffness. MRI showed a higher prevalence of flexor tenosynovitis than clinically suspected by using the pinch test. We could not observe an increase in soft tissue swelling in the morning compared to the evening.

Adult↗
PubMed1991

Treatment of flexor tenosynovitis of the hand ('trigger finger') with corticosteroids. A prospective study of the response to local injection.

We developed a protocol to maximize medical therapy for "trigger finger." Fifty-eight patients with 77 episodes of flexor tenosynovitis of the hand that was resistant to rest, therapy with nonsteroidal anti-inflammatory drugs, and/or splinting were treated with single or multiple injections of depo-methylprednisolone acetate or triamcinolone acetonide. Patients were prospectively followed up for an average of 4.6 years. Results showed that symptoms and signs resolved in 61% after a single injection. Recurrent episodes, after prolonged pain-free intervals, occurred in 27% and were effectively re-treated with injection. In 12% of cases, either injection failed or early recurrence required surgical release. Local adverse reactions to injection, including pain at the injection site, stiffness, ecchymosis, or atrophy of subcutaneous fat, were self-limited. No episodes of postinjection infection or tendon rupture occurred. The medical management of flexor tenosynovitis with local corticosteroid injection(s) is effective in nearly 90% of cases and is free from serious adverse reactions.

Anti-Inflammatory Agents↗
PubMedDate not supplied

Comparative microscopic lesions in reoviral and staphylococcal tenosynovitis.

Experimental inoculation of 1-day-old male broiler chickens with avian reo-virus or Staphylococcus aureus caused tenosynovitis of the gastrocnemius and digital flexor tendons. Reovirus inoculation by either the oral or footpad route initiated a diffuse lymphocytic infiltration in the peritendineum, synovial membrane, and epitenon from 1 to 5 weeks postinoculation (PI). Heterophils were not a predominant feature of the inflammatory response, but when present they were localized with fibrin in and around synovial spaces. The prevalence of microscopic tendon lesions was less common with staphylococcal infection than with reovirus infection. With staphylococcus, lesions were localized to the synovial space and membranes and were characterized by heterophils and fibrin but few lymphocytes. Synovial cell hyperplasia and bursal atrophy were common in both groups. From 10 to 20 weeks PI, both groups developed progressive tendon fibrosis. These results indicate that tenosynovitis due to inoculation with reovirus or staphylococcus may be differentiated histologically from 1 through 5 weeks PI. After 10 weeks, this may not be possible, because diffuse fibrosis was the major lesion with both. Perhaps fibrosis predisposes older, heavier broilers to tendon failure and rupture.

Animals↗
PubMed1989

Treatment of tenosynovitis in rheumatoid arthritis.

Tenosynovitis in the hand of a patient with rheumatoid arthritis will occur in common sites. If the tenosynovitis cannot be controlled by nonsurgical means, there are surgical approaches to the disease. Tenosynovectomy can give successful, long-term relief from the synovitis, and can also prevent tendon ruptures.

Arthritis, Rheumatoid↗
PubMed1985

Reovirus-induced tenosynovitis: persistence of homologous challenge virus in broiler chicks after vaccination of parents.

Broiler chicks from a parent flock previously vaccinated with a commercial tenosynovitis (viral arthritis) vaccine were challenged when one day old with a virulent form of the vaccinal reovirus strain. A group from unvaccinated parents was similarly challenged. At three weeks after infection it was found that, while maternal antibody reduced the incidence of lesions of tenosynovitis by about 50 per cent and also the amount of virus in the gut when compared with the group without maternal antibody, the rates of recovery of virus from the hock joints were very similar. The possible epidemiological importance of persistent virus in the joints of clinically protected chicks is discussed.

Animals↗
PubMed1986

Carpal tunnel syndrome secondary to tuberculous tenosynovitis.

A case of tuberculous flexor tenosynovitis causing a carpal tunnel syndrome is described. Surgery initially relieved the patient's symptoms, but the disease process continued until the diagnosis was made and appropriate treatment was instituted. This diagnosis, although rare, should be considered as the etiology in a carpal tunnel syndrome, particularly when there is evidence of a proliferative tenosynovitis and radiographs show diffuse osteoporosis.

Aged↗
PubMedDate not supplied

Chronic tenosynovitis of the tibialis posterior tendon and the use of tenography.

Tenosynovitis of the tibialis posterior tendon and the use of the tenogram is presented. The tenogram is used as a diagnostic aid in determining the etiology as well as the course of treatment of a symptomatic tibialis posterior tendon. Various treatments for tenosynovitis have also been described.

Chronic Disease↗