6.8. Skin and Soft Tissue Infection - Infectious Tenosynovitis

Question 1

How is Infectious Tenosynovitis described?

Answer 1

Infection of the Synovial Sheaths that surround Tendons

Question 2

Which tendons are most commonly involves in Infectious Tenosynovitis?

Answer 2

1. Flexor Muscle-Associated Tendons
2. Tendon Sheaths of the Hand

Question 3

What is the most common inciting event?

Answer 3

Penetrating Trauma

Question 4

What bacteria is the most common caustaive agent of Infectious Tenosynovitis?

Answer 4

1. Staphylococcus Aureus
2. Streptococci

Question 5

What infectious agents can cause Chronic Infectious Tenosynovitis?

Answer 5

1. Mycobacteria
2. Fungi
3. Gonococcal infection (possibly)

Question 6

How does Infectious Tenosynovitis present?

Answer 6

1. Erythematous Fusiform swelling of the Finger
2. Finger held in a Semi-Flexed position
3. Tenderness over the length of the Tendon Sheath
4. Pain with extension of the Finger

Question 7

What is the treatment of Infectious Tenosynovitis?

Answer 7

1. Empiric Antibiotics
2. Hand Surgeon to review ASAP