Episode 126.0 – Flexor Tenosynovitis

Show Notes

Take Home Points

  • Think about flexor tenosynovitis in a patient with atraumatic finger pain.  They may have any combination of these signs:
    • Tenderness along the course of the flexor tendon
    • Symmetrical swelling of the finger – often called the sausage digit
    • Pain on passive extension of the finger and
    • Patient holds the finger in a flex position at rest for increased comfort
  • Give antibiotics to cover staph, strep and possibly gram negatives.
  • Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention.

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