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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Flexor Tenosynovitis

Hand Infections

A 32-year-old mechanic presents 3 days after sustaining a puncture wound to his right index finger while working on a car engine. He describes progressive pain, swelling, and difficulty moving the finger. On examination, the finger is held in slight flexion, there is uniform swelling along the flexor sheath, and he experiences severe pain with passive extension of the finger. The finger is tender along the entire flexor sheath. Regarding pyogenic flexor tenosynovitis:

Mark each as TRUE or FALSE

A

The four Kanavel signs are: finger held in slight flexion, uniform (fusiform) swelling of the entire...

B

Staphylococcus aureus is the most common causative organism in immunocompetent adults; other organis...

C

Flexor tenosynovitis can be safely managed with oral antibiotics alone if diagnosed within the first...

D

The flexor tendon sheaths of the thumb and small finger communicate with the radial and ulnar bursae...

E

Surgical treatment involves either closed tendon sheath irrigation (Neviaser technique) with proxima...

Answer the questions to see explanations

Click T (True) or F (False) for each option