How do you treat infectious flexor tenosynovitis?
Treatment of infectious flexor tenosynovitis is surgical drainage (eg, irrigation of the tendon sheath by inserting a cannula into one end and allowing the irrigating fluid to pass along the tendon sheath to the other end, or an extensive open incision for more serious infections).
What bacteria causes tenosynovitis?
The most common etiology of tenosynovitis is infection, and the majority of cases are due to gram-positive organisms. Staphylococcus aureus is the most commonly isolated organism in patients with tenosynovitis, accounting for 80% of all cases.
What is a flexor sheath infection?
Flexor sheath infections, also known as infected tenosynovitis, are a relatively common infection of the hand with a prevalence ranging from 2.5% to 9.4% of hand infections. If misdiagnosed, flexor sheath infections can lead to serious, life-threatening consequences.
Can a flexor tendon heal without surgery?
Tendon Healing Because the cut ends of a tendon usually separate after an injury, a cut tendon can not heal without surgery. Your doctor will advise you on how soon surgery is needed after a flexor tendon is cut. There are many ways to repair a cut tendon, and certain types of cuts need a specific type of repair.
What is septic tenosynovitis?
Septic tenosynovitis was defined as the presence of at least two of the following Kanavel signs13 on concomitant assessment by one resident (in training) physician and one attending hand surgeon: (1) slight flexion of the affected digits; (2) fusiform swelling over the affected tendon; (3) tenderness over the affected …
What is septic arthritis?
Septic arthritis is an infection in the joint (synovial) fluid and joint tissues. It occurs more often in children than in adults. The infection usually reaches the joints through the bloodstream. In some cases, joints may become infected due to an injection, surgery, or injury.
How long does it take a flexor tendon to heal?
A flexor tendon takes approximately 3 to 4 months to heal before your hand is strong enough to use without restrictions. usually you will be required to wear a protective splint for approximately 6 o 8 weeks after surgery, removing it only to do exercise prescribed by your doctor and therapist.
How long does flexor tendon surgery take?
A simple flexor tendon repair takes 45 to 60 minutes, but complex surgery for more severe injuries could take much longer. Read more about recovering from hand tendon repair and the complications of hand tendon repair.