Tenosynovitis Questions & Answers

Updated: Nov 22, 2019
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
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Questions & Answers

Overview

What is tenosynovitis?

What are the signs and symptoms of infectious tenosynovitis?

What are the signs and symptoms of gonococcal tenosynovitis?

What is inflammatory flexor tenosynovitis?

How is tenosynovitis diagnosed?

Which hematologic studies are performed in the evaluation of tenosynovitis?

What is the role of biopsy in the evaluation of tenosynovitis?

What is the role of imaging in the evaluation of tenosynovitis?

What is included in the nonoperative treatment of infectious flexor tenosynovitis?

What is included in the nonoperative treatment of inflammatory flexor tenosynovitis?

What is the role of surgical drainage in the treatment of tenosynovitis?

What is the pathophysiology of infectious flexor tenosynovitis?

What is the pathophysiology of inflammatory flexor tenosynovitis?

What are the pathologic stages of overuse in inflammatory flexor tenosynovitis?

What is the role of tendon rupture in the pathogenesis of tenosynovitis?

What are noninfectious causes of tenosynovitis?

How does overuse injury cause tenosynovitis?

What causes nongonococcal infectious tenosynovitis?

Which Mycobacterium species cause nongonococcal infectious tenosynovitis?

What causes gonococcal tenosynovitis?

What causes pyogenic flexor tenosynovitis?

What is the incidence of infectious flexor tenosynovitis?

What is the incidence of inflammatory flexor tenosynovitis?

What is the prognosis of infectious flexor tenosynovitis?

What is the prognosis of pyogenic flexor tenosynovitis?

What is the etiologic role tenosynovitis in rheumatoid arthritis?

What is the prognosis of tenosynovitis with comorbid diabetes?

Presentation

Which history is characteristic of gonococcal tenosynovitis?

Which history is characteristic of nongonococcal infectious tenosynovitis?

What history is characteristic of inflammatory tenosynovitis?

Which history is characteristic of volar flexor tenosynovitis?

Which physical findings suggest infectious tenosynovitis?

Which physical findings suggest gonococcal tenosynovitis?

Which physical findings suggest inflammatory flexor tenosynovitis?

Which physical findings suggest volar flexor tenosynovitis?

Which physical findings suggest de Quervain tenosynovitis?

DDX

Which conditions should be included in the differential diagnosis of tenosynovitis?

What are the differential diagnoses for Tenosynovitis?

Workup

Which findings on complete blood count (CBC) suggest infectious flexor tenosynovitis?

Which erythrocyte sedimentation rate (ESR) findings suggest infectious flexor tenosynovitis?

Which lab studies are performed for the evaluation of tenosynovitis?

What is the role of imaging studies in the evaluation of tenosynovitis?

What is the role of aspiration and evaluation of joint fluid in the evaluation of tenosynovitis?

Which histologic findings are characteristic of tenosynovitis?

Treatment

What are the treatment options for tenosynovitis?

What is included in nonoperative treatment of infectious flexor tenosynovitis?

What is the role of empiric antibiotics in the treatment of infectious flexor tenosynovitis?

What are the treatment options for gonococcal tenosynovitis?

What are treatment options for nongonococcal infectious tenosynovitis?

What are treatment options for inflammatory flexor tenosynovitis?

What is included in the treatment of inflammatory flexor tenosynovitis due to overuse syndrome?

What are treatment options for de Quervain tenosynovitis?

What are treatment options for volar flexor tenosynovitis?

What are treatment options for rheumatoid inflammatory flexor tenosynovitis?

What is the Michon Classification Scheme for infectious flexor tenosynovitis?

What is the role of surgery in the treatment of infectious flexor tenosynovitis?

What are the indications for open tendon sheath débridement for infectious flexor tenosynovitis?

What are techniques for open tendon sheath débridement of infectious flexor tenosynovitis?

What surgical techniques can be used in the treatment of inflammatory flexor tenosynovitis?

What is included in postoperative care for infectious flexor tenosynovitis?

What is included in postoperative care for inflammatory flexor tenosynovitis?

Which specialist consultations are beneficial in the treatment of tenosynovitis?

What is included in long-term monitoring of tenosynovitis?

Medications

Which medications are used in the treatment of tenosynovitis?

Which medications in the drug class Corticosteroids are used in the treatment of Tenosynovitis?

Which medications in the drug class Antibiotics are used in the treatment of Tenosynovitis?

Which medications in the drug class Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of Tenosynovitis?