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Tenosynovitis of the Wrist

Synovitis/tenosyn Wrist


Presentation

  • A case is presented where flexor tenosynovitis of the volar wrist is the presenting symptom of sarcoidosis in a 69-year-old man.[ncbi.nlm.nih.gov]
Fishing
  • The tunnel helps hold the tendons in place, like the guide on a fishing pole. This tunnel is lined with a slippery coating called tenosynovium.[advantagephysiotherapy.com]
Soft Tissue Mass
  • On the basis of these findings, we could easily distinguish tenosynovitis from other soft-tissue-mass lesions, such as tumors or infected ganglia.[ncbi.nlm.nih.gov]
Pathologist
  • Surgical pathology specimens were reviewed by a single pathologist to define common histological features and to compare the histology to that which is classically seen in rheumatoid tenosynovitis.[ncbi.nlm.nih.gov]
Chest Discomfort
  • She did not have any complaints of respiratory symptoms, including cough, sputum, or chest discomfort. A follow up serologic test was negative for human immunodeficiency virus (HIV) antibody.[medcraveonline.com]
Animal Bite
Sputum
  • She did not have any complaints of respiratory symptoms, including cough, sputum, or chest discomfort. A follow up serologic test was negative for human immunodeficiency virus (HIV) antibody.[medcraveonline.com]
  • Sputum was negative for acid fast bacilli. Mantoux test was inconclusive. Plain radiograph of the right wrist showed erosion of the radiocarpal joints with a soft tissue swelling overlying the osteoporotic carpal bones.[omicsonline.org]
Aspiration
  • The diagnosis was confirmed by fine needle aspiration biopsy. A satisfactory resolution was obtained by antibiotic therapy alone, indicating that radical synovectomy may not be necessary in all cases of M. malmoense infection.[ncbi.nlm.nih.gov]
  • A diagnosis of ganglion was established on fine needle aspiration cytology. Findings on chest X-rays were normal. Right wrist joint X-ray showed no significant findings.[jmedicalcasereports.biomedcentral.com]
Cough
  • She did not have any complaints of respiratory symptoms, including cough, sputum, or chest discomfort. A follow up serologic test was negative for human immunodeficiency virus (HIV) antibody.[medcraveonline.com]
  • Synchronously, he also complained of productive cough over this 6 month period which was associated with significant weight loss of 10 kg over the same period.[omicsonline.org]
Productive Cough
  • Synchronously, he also complained of productive cough over this 6 month period which was associated with significant weight loss of 10 kg over the same period.[omicsonline.org]
Night Sweats
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]
Suggestibility
  • The findings were an inflamed, thickened synovia with rice bodies: suggestive of tuberculous tenosynovitis. Anti-tuberculous chemotherapy was commenced on the second postoperative day. Tuberculous tenosynovitis of the wrist is uncommon.[ncbi.nlm.nih.gov]
  • Beyond suggestion of over the counter medications to reduce swelling, the doctor may suggest his patient receive corticosteroid injections the sheath covering the tendons, which will reduce swelling and irritation.[osmifw.com]
  • @wahineX, while it is possible thst the way you moved your hand, or held your wrist, while wearing your Fitbit, could have caused some strain or injury, there is absolutely nothing currently known to medical science, other than that, to suggest that your[community.fitbit.com]
Numbness of the Hand
  • You have tingling, weakness, or numbness in your hand and fingers. Your pain gets worse. The tendon may be infected. Signs of infection include: Increased pain and tenderness around the wrist or thumb. Swelling or redness of the wrist or thumb.[myhealth.alberta.ca]
Numbness of the Hand
  • You have tingling, weakness, or numbness in your hand and fingers. Your pain gets worse. The tendon may be infected. Signs of infection include: Increased pain and tenderness around the wrist or thumb. Swelling or redness of the wrist or thumb.[myhealth.alberta.ca]

Workup

  • 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

  • RESULTS: Scores for tenosynovitis showed a significant reduction in the etanercept group compared with placebo (p 0.01) after 6 weeks of treatment.[ncbi.nlm.nih.gov]
  • Treatment of De Quervain’s Tenosynovitis Like most conditions of a similar nature, the earlier a diagnosis is made and treatment can begin the faster the recovery time.[osmifw.com]
  • Treatment may include: Surgery to drain the infection. The healthcare provider cleans the inside of the tendon sheath to wash away pus and germs. He or she may cut away damaged or dead tissue to allow remaining tissue to heal.[saintlukeshealthsystem.org]

Prognosis

  • Prognosis: Most patients recover well from tenosynovitis with rest and treatment. Recurrence: If a person has had tenosynovitis once, it’s likely to recur, especially if the cause is not addressed.[practo.com]
  • What is the prognosis with de Quervain's tenosynovitis? The prognosis for de Quervain's tenosynovitis is excellent. The patient can generally return to full function after the inflammation quiets down with treatment.[medicinenet.com]
  • MRI Increased fluid within tendon sheath: T1: low or intermediate if debris within tendon sheath T2: high T1 C (Gd): tendon sheath thickening and peritendinous subcutaneous contrast enhancement Treatment and prognosis Treatments may include non-steroidal[radiopaedia.org]
  • Cases of infectious FT that present early and have no comorbidities have a good prognosis.[emedicine.medscape.com]

Etiology

  • The synovial membrane is part of a fluid-filled sheath that surrounds a tendon. joint swelling pain in the affected area and pain moving a joint reddening along the length of the affected tendon difficulty moving the joint Etiology Tenosynovitis can be[radiopaedia.org]
  • Infecting organisms include the following Staphylococcus aureus and Streptococcus [most common etiologic agents], Pasteurella multocida [mostly after a cat bite], Eikenella corrodens, anaerobes, Capnocytophaga canimorsus [ dog bites], Mycobacterium [bacteriae[boneandspine.com]
  • (See Pathophysiology and Etiology.) Much of the original work on infectious FT was done by Kanavel.[emedicine.medscape.com]
  • Also known as: Radial styloid tenosynovitis de Quervain disease de Quervain's stenosing tenosynovitis mother's wrist and mommy thumb washerwoman's sprain Etiology of De Quervain tenosynovitis The tendons of the abductor pollicis longus and the extensor[physiotherapy-treatment.com]
  • Inflammatory, Non-infectious Etiologies Rheumatoid Arthritis Manifestations of rheumatoid arthritis include tenosynovitis and palmar bursitis.[radsource.us]

Epidemiology

  • OBJECTIVE: To explore the possible role of ultrasonography in case definitions for epidemiological studies of work-related wrist tenosynovitis.[ncbi.nlm.nih.gov]
  • […] pollicis longus (APL) origin: dorsal side of the radius and the ulna, the membrana interossea insertion: base of ossis metacarpi I function: - wrist joint: radial abduction - thumb: abduction innervations: N. radialis artery: A. interossea posterior Epidemiology[physio-pedia.com]
  • The ultimate consequences are tendon necrosis, disruption of the tendon sheath, and digital contracture. [18, 19] Epidemiology Infectious flexor tenosynovitis No data exist regarding the incidence of infectious FT.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • (See Pathophysiology and Etiology.) Much of the original work on infectious FT was done by Kanavel.[emedicine.medscape.com]
  • […] piano-playing, sewing, and knitting. [7] Women are affected more often than men. [7] The syndrome commonly occurs during and after pregnancy. [11] Contributory factors may include hormonal changes, fluid retention and—more debatably—lifting. [11] [12] Pathophysiology[en.wikipedia.org]

Prevention

  • However, in developing countries like Ghana where tuberculosis is prevalent, it should be part of the differential diagnosis of compound palmar ganglion in order to prevent delayed diagnosis and treatment.[ncbi.nlm.nih.gov]
  • In tenosynovitis, inflammation of the tendon sheath prevents this free movement, but any attempted movement tends to be painful and limited.[practo.com]
  • Prevention of tenosynovitis is regular exercise. It is very important that the weight is evenly distributed and affect different muscle groups.[medicalj-center.info]
  • Quick treatment can help prevent permanent damage to tissues. How to say it ten-oh-sy-noh-VY-tis What causes infectious tenosynovitis of the finger, hand, or wrist? The most common cause is an injury that lets germs inside the tendon sheath.[saintlukeshealthsystem.org]
  • Holds the wrist and thumb in a neutral position Easy to apply due to Velcro fastenings Made with removable stays to tailor your support Contoured design helps you remain comfortable Includes a stay in the thumb to support the area Stabilises the area to prevent[healthandcare.co.uk]

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