Presentation
Given the potential morbidity of a missed or delayed diagnosis of pyogenic flexor tenosynovitis and that this infection can be present without all four Kanavel’s signs seen on initial presentation, providers should proceed with caution when using the [link.springer.com]
Given the high recurrence rate, we also offer surgical release to patients with IDDM presenting with first-time trigger digits. [healio.com]
Tenderness is present at the proximal end of the tendon sheath just proximal to the metacarpal head. Palpable tendon thickening and nodularity may be present. [boneandspine.com]
Critical Essential Core Tested Community Questions (5) (OBQ13.133) A 48-year-old hairdresser presents with pain and swelling of his ring finger for 4 days. On examination, there is generalized tenderness along the entire digit. [orthobullets.com]
Primary stenosing tenosynovitis can be idiopathic, occurring in middle age women more frequently than in men, but can present also in infancy. [en.wikipedia.org]
Musculoskeletal
- Tendon Disorder
The most common sites for tendon disorders are (Figure 3): Figure 3 Shoulder Bicipital tendinopathy - disorder of the tendon to the biceps. [ccohs.ca]
Neurologic
- Numbness of the Hand
This causes the pins-and-needles pain or the feeling of tingling and numbness in the fingers and thumb that is often complained of by people suffering from carpal tunnel syndrome. This pain and numbness can happen at any time. [ncra.org]
Workup
Preoperative Workup Trigger digit is usually a clinical diagnosis. Trigger digits may be associated with carpal tunnel syndrome and an investigation into a history of carpal tunnel syndrome symptoms is warranted. [csurgeries.com]
Imaging Obtain standard anteroposterior and lateral radiographs to rule out bony involvement or a foreign body. [1] See Workup for more detail. [emedicine.medscape.com]
Treatment
The full-color design presents detailed clinical photographs and treatment algorithms for visual guidance and easy reference. [books.google.de]
Treatment was successful in most patients with symptoms and signs of less than four months' duration. Only 41% of the digits causing symptoms for greater than four months had a successful outcome. [ncbi.nlm.nih.gov]
In all cases, it is important to speak with your health care provider for proper diagnosis and treatment of your shoulder pain. Remember that without treatment, the shoulder can permanently lose full function. [drwilderman.com]
Results Scores for tenosynovitis showed a significant reduction in the etanercept group compared with placebo (p=0.01) after 6 weeks of treatment. [ard.bmj.com]
Dupuytren’s Contracture Treatments Treatment of Dupuytren’s contracture depends on the severity of the condition. Treatment for cases of mild Dupuytren’s contracture involves stretching of the fingers, heat, and massage. [paindoctor.com]
Prognosis
The prognosis for individuals with Dupuytren’s contracture is also good. Typically, the disease progresses slowly and is painless. [paindoctor.com]
Treatment and prognosis The condition can be conservatively managed with splinting, NSAIDs and local steroid injections along with alteration in the patient's causative activity or may require surgical section of the A1 pulley when the pulley is markedly [radiopaedia.org]
"Factors affecting the prognosis of pyogenic flexor tenosynovitis". The Journal of Bone and Joint Surgery. American Volume. 89 (8): 1742–8. doi : 10.2106/JBJS.F.01356. PMID 17671013. ^ Nikkhah, D; Rodrigues, J; Osman, K; Dejager, L (2012). [en.wikipedia.org]
What is the prognosis of trigger finger? The prognosis of trigger finger is excellent. Nearly all patients recover completely after medical professionals administer cortisone injections and the tendon again glides freely through the tendon sheath. [medicinenet.com]
Long-term prognosis for cure is excellent. [samraplasticsurgery.com]
Etiology
Etiology Clinical features Subtypes and variants De Quervain's tenosynovitis Thickening of the abductor pollicis longus and extensor pollicis brevis due to myxoid degeneration Epidemiology Sex: ♀ > ♂ Age: 30–50 years Etiology Repetitive/prolonged abduction [amboss.com]
M65.841 - Other synovitis and tenosynovitis, right hand M65.842 - Other synovitis and tenosynovitis, left hand M65.849 - Other synovitis and tenosynovitis, unspecified hand Flexor Tenosynovitis ICD-9 727.0 Synovitis and tenosynovitis Flexor Tenosynovitis Etiology [eorif.com]
However, there have been histologic studies showing that the inflammation occurs more so in the tendon sheaths rather than the tendosynovium, making this name a false depiction of the actual pathophysiology of the condition. [1] Epidemiology/Etiology [physio-pedia.com]
The etiologies (causes) of the inflammation include heavy lifting, direct injuries to the thumb, and inflammatory diseases, such as rheumatoid arthritis. [drwilderman.com]
(See Pathophysiology and Etiology.) Much of the original work on infectious FT was done by Kanavel. [emedicine.medscape.com]
Epidemiology
Sarcoidosis 514 28 Storage and Deposition Diseases 523 29 The Amyloidoses 533 30 Neoplasms of the Joint 543 31 Heritable Disorders of Connective Tissue 549 32 Bone and Joint Dysplasias 559 33 Osteonecrosis 565 34 Pagets Disease of Bone 573 35 Osteoporosis A Epidemiology [books.google.de]
Clinical and epidemiological research Rapid reduction in tenosynovitis of the wrist and fingers evaluated by MRI in patients with rheumatoid arthritis after treatment with etanercept M Pilar Lisbona 1, Joan Maymó 1, Javier Perich 2, Miriam Almirall 1, [ard.bmj.com]
[…] synovitis and tenosynovitis, right hand M65.842 - Other synovitis and tenosynovitis, left hand M65.849 - Other synovitis and tenosynovitis, unspecified hand Flexor Tenosynovitis ICD-9 727.0 Synovitis and tenosynovitis Flexor Tenosynovitis Etiology / Epidemiology [eorif.com]
Etiology Clinical features Subtypes and variants De Quervain's tenosynovitis Thickening of the abductor pollicis longus and extensor pollicis brevis due to myxoid degeneration Epidemiology Sex: ♀ > ♂ Age: 30–50 years Etiology Repetitive/prolonged abduction [amboss.com]
Pathophysiology
Neoplasms of the Joint 543 31 Heritable Disorders of Connective Tissue 549 32 Bone and Joint Dysplasias 559 33 Osteonecrosis 565 34 Pagets Disease of Bone 573 35 Osteoporosis A Epidemiology and Clinical Assessment 576 35 Osteoporosis B Pathology and Pathophysiology [books.google.de]
Jackson, MD: What is the definition and pathophysiology of trigger finger and who usually develops it? Tamara D. Rozental, MD: Stenosing tenosynovitis or trigger finger is a common problem in the orthopedic patient population. [healio.com]
(See Pathophysiology and Etiology.) Much of the original work on infectious FT was done by Kanavel. [emedicine.medscape.com]
However, there have been histologic studies showing that the inflammation occurs more so in the tendon sheaths rather than the tendosynovium, making this name a false depiction of the actual pathophysiology of the condition. [1] Epidemiology/Etiology [physio-pedia.com]
Prevention
How can I prevent recurrence of trigger finger? After symptoms have resolved and tissue has healed, there are a few things you can try to prevent recurrence of trigger finger. [healthcentral.com]
In many circumstances, prevention is the best measure. Keeping the tendons in the shoulder strong will help to prevent injury. [drwilderman.com]
Splinting also helps prevent you from curling your fingers into a fist while sleeping, which can make it painful to move your fingers in the morning. Finger exercises. [womenfitness.net]
Tendon sheath inflammation is preventable if you avoid excessive movements or motions that are repetitive or forceful. [healthline.com]
The incision should not cross the distal interphalangeal joint flexion crease (to prevent formation of a flexion contracture from scar formation) or penetrate too deeply (to prevent spread of infection from violating the flexor tendon sheath). [orthopaedicsone.com]