Hand Infections
A 35-year-old construction worker presents 3 days after a puncture wound to his index finger from a rusty nail. He has severe pain, swelling, and inability to use the finger. On examination, the finger is held in slight flexion with fusiform swelling. There is tenderness along the entire flexor sheath and exquisite pain with passive extension. Temperature is 38.2Ā°C. Regarding pyogenic flexor tenosynovitis:
Mark each as TRUE or FALSE
Kanavel's four cardinal signs are: (1) finger held in slight flexion, (2) fusiform (uniform) swellin...
The flexor tendon sheath is a closed space from the A1 pulley to the FDP insertion; infection spread...
Flexor tenosynovitis is a low-urgency condition that can be managed expectantly; antibiotics alone a...
Treatment includes IV antibiotics and urgent surgical drainage within 24 hours of presentation; earl...
Complications of delayed treatment include tendon necrosis and rupture, adhesions with loss of glidi...
Answer the questions to see explanations
Click T (True) or F (False) for each option