Infectious Beugertenosynovitis

Infectious Beugertenosynovitis is an acute infection within the flexor tendon sheath.

The usual cause is a penetration of the tendon sheath with bacterial inoculation.

Infectious Beugertenosynovitis is an acute infection within the flexor tendon sheath. The usual cause is a penetration of the tendon sheath with bacterial inoculation. Diagnosis Kanavel characters radiographs An infectious Beugertenosynovitis presented with Kanavel characters: bent resting position of the finger fusiform swelling tenderness along the tendon sheath pain on passive extension of the finger A radiograph should be made to exclude occult foreign body. Also, the acute calcific tendonitis and RA can restrict the mobility in a similar form and cause pain in the tendon sheath, but they can be distinguished from the infectious form by the gradual appearance and lack of some part of the findings Kanavel character. Disseminated gonococcal infection can cause tenosynovitis, but often multiple joints (in particular those of the wrists, fingers, ankles and toes) are involved, and patients often show recent-onset fever, rash, polyarthralgia and prevalence of risk factors for sexually transmitted disease (STD) , The infection of the tendon sheath may be caused by atypical mycobacteria, but these infections are not painful and chronic usually. Surgical therapy drainage and antibiotics for the treatment is carried out a surgical drain, z. B. rinsing the tendon sheath by inserting a cannula at one end and leakage of the liquid at the other end of the tendon sheath, further comprising a splinting function in attitude, d. H. 20 ° -Streckung of the wrist, 60 ° flexion in the MCP joint and slight flexion of the PIP joint. Here, too, cultural studies and antibiotics are needed empirically starting with a cephalosporin. In regions where methicillin-resistant Staphylococcus aureus (MRSA) is common, trimethoprim / sulfamethoxazole, clindamycin, doxycycline or linezolid should be used instead of a cephalosporin.

Health Life Media Team

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