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What is Flexor Tenosynovitis?
Flexor tendonous synovitis is a condition where there is inflammation around the flexor tendons of the finger.1Tenosynovitis means inflammation of a tendon and the surrounding sheath . Flexor tenosynovitis is the experimental condition where there is irritation and fervor of the sheath surrounding the flexor sinew . When this take place , the flexor tendon catches and the patient is ineffective to extend or flex the finger . Majority of the cases of flexor tenosynovitis are infective in nature ; however , flexor tendonous synovitis can also occur due to inflammation from noninfectious causes , such as overuse , diabetesandarthritis .
The exact causa of flexor tendosynovitis is not well-defined . Individuals with diabetes are at an increase risk for grow this condition . accord to research , increase glucose level increase the risk of infection of development of flexor tendonous synovitis . The longer the patient has diabetes , the higher the risk for having flexor tenosynovitis .
Causes of Flexor Tenosynovitis
Flexor tendosynovitis takes place when there is proliferation of stringy tissue in the tendon sheath , the exact cause of why this happens is not known . There are sure factor which are thought to conduct to growing of flexor tendosynovitis such as :
Symptoms of Flexor Tenosynovitis
Difference between Infectious Flexor Tenosynovitis & Inflammatory Flexor Tenosynovitis
Infectious Flexor Tenosynovitis hap as a result of trauma or trauma come due to take vaccination through a laceration , pungency or puncture . uncouth pathogen seen in harm are strep and staphylococcus aureus . In type of Infectious Flexor Tenosynovitis , patient has the Kanavel ’s signs which are :
Inflammatory Flexor Tenosynovitis take place as a event of an inherent disease process . The disease progression is slow ; however , the condition worsens if handling is not startle . symptom are interchangeable to infectious flexor tenosynovitis with swelling being the uncouth initial signboard . There is a deviation in peaceful versus active flexure . As there is expansion of the tissue along with impingement , patient will experience pain in the ass and decreased movements .
Diagnosis of Flexor Tenosynovitis
Physical examination of the patient is done , which includes tendon - specific maneuvers that include stretch of the tendon to see if the affected role has pain.3Ultrasound or MRI scan can be done to exclude other disorders such asrotator cuff tendonitisand to confirm the diagnosing of flexor tendosynovitis . Diagnosis can also be confirmed through histopathological and microbiological rating . If the patient has joint outburst then diagnostic arthrocentesis can be done .
Treatment of Flexor Tenosynovitis
infective flexor tendonous synovitis requires contiguous medical attention , as the tendon sheath is a closed space and increased or extravagant swelling can result in compartment syndrome and gangrene . Treatment of Flexor Tenosynovitis consists of :
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