UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 感染性腱滑膜炎infectious tenosynovitis [show details]
…infection had the worst prognosis (amputation rate 59 percent). Long-term complications of pyogenic tenosynovitis include finger stiffness and tendon sheath adhesions, boutonniere deformity, and tendon necrosis …
2. ばね指（狭窄性屈筋腱腱鞘炎）trigger finger stenosing flexor tenosynovitis [show details]
…in that tenosynovitis often leads to swelling and pain along the long axis of the affected tendon, joints, or finger, resulting in limited or painful extension of the involved digit. Tenosynovitis improves …
3. 糖尿病患者の筋骨格系に生じる合併症の概要overview of the musculoskeletal complications of diabetes mellitus [show details]
…often affected, and the condition is sometimes bilateral . Flexor tenosynovitis is discussed in detail separately. Flexor tenosynovitis has been reported in 5 percent of a series of 250 patients with type …
4. 手指感染の概要overview of hand infections [show details]
…inflammatory process. Inflamed gouty tophi may be mistaken for a felon, a subcutaneous abscess, pyogenic flexor tenosynovitis, or septic arthritis The differentiation between gout and septic arthritis depends …
5. 全身性硬化症（強皮症）患者の手の手術hand surgery in patients with systemic sclerosis scleroderma [show details]
…infections may progress to paronychia, osteomyelitis of the distal or middle phalanx, or pyogenic flexor tenosynovitis. In these scenarios, surgical amputation at the distal interphalangeal (DIP) joint level…

English Journal

Conservative treatment for pyogenic flexor tenosynovitis: a single institution experience.

Frenkel Rutenberg T, Velkes S, Sidon E, Paz L, Peylan J, Shemesh S, Iordache SD.
Journal of plastic surgery and hand surgery. 2020 Feb;54(1)14-18.
Pyogenic flexor tenosynovitis (PFT) of the hand is a common infection which is clinically diagnosed using Kanavel's signs. Delay in diagnosis and treatment may lead to devastating outcomes, including reduced range of motion (ROM), deformities, tendon impairment or even amputation. While the gold sta
PMID 31453741

Point of Care Ultrasound in Pyogenic Tenosynovitis: A Case Report.

Amini R, Camacho L, Acuña J, Situ-La Casse EH, Adhikari S.
Bulletin of emergency and trauma. 2020 Jan;8(1)41-46.
Pyogenic tenosynovitis is caused by hematogenous spread of infection or trauma with direct inoculation of a tendon sheath. Symptoms and clinical examination findings associated with pyogenic tenosynovitis may be confused with superficial soft tissue infections, however management plans between pyoge
PMID 32201701

Pyogenic tenosynovitis of the wrist due to Corynebacterium striatum in a patient with dermatomyositis: A case report.

Kawaguchi Y, Okamoto H, Endo K, Iwata H, Joyo Y, Nozaki M, Tamechika S, Waguri-Nagaya Y, Murakami H.
Medicine. 2020 Jan;99(3)e18761.
Corynebacterium striatum is common contaminant in clinical specimens. Here, we report a rare case of pyogenic tenosynovitis of the wrist caused by C striatum in a dermatomyositis patient taking oral immunosuppressants. A 67-year-old Japanese woman with dermatomyositis had a history of multiple intra
PMID 32011462

Japanese Journal

Acute Carpal Tunnel Syndrome Due to Pyogenic Flexor Tenosynovitis without Any Antecedent Injury

Yoshida Hirofumi,Imura Haruki,Goto Taiga,Nakamata Takeharu,Daya Mohamud R.,Kamiya Toru
Internal Medicine 56(11), 1439-1442, 2017
… <p>We herein report a case of acute carpal tunnel syndrome due to pyogenic flexor tenosynovitis in the absence of any antecedent injury whose rapid progression and course was similar to that seen with necrotizing fasciitis. …
NAID 130006857221

A群β溶血性連鎖球菌感染により示指切断に至った化膿性腱鞘炎の1症例

中川知郎,金子真也,寺元秀文,内田圭治,越宗幸一郎,村上恒二
中部日本整形外科災害外科学会雑誌 59(3), 507-508, 2016
NAID 130006870639

NPWTを用いて治療した化膿性屈筋腱腱鞘炎の治療経験

永吉信介,善家雄吉,田島貴文,小杉健二,平澤英幸,目貫邦隆,酒井昭典
整形外科と災害外科 65(3), 451-455, 2016
化膿性屈筋腱腱鞘炎に対し閉鎖陰圧療法を用いて治療を行った症例について検討した．症例は3症例で年齢は54，64，83歳でいずれも男性であった．1例は基礎疾患にII型糖尿病，肝硬変を有しており，また明らかな誘因は熱傷が先行した1例のみであった．発症から初回手術までの期間は全例1日で，うち1例は他院で初療が行われていた．当院初回手術は掌側Zigzag切開で進入し，徹底して病巣を掻把したのち部分的な開放創 …
NAID 130005179849