2025年2月20日 · Pyogenic flexor tenosynovitis is an infection of the synovial sheath that surrounds the flexor tendon. Diagnosis is made clinically with the presence of the 4 Kanavel signs. Treatment is urgent irrigation and debridement of the flexor tendon sheath with IV antibiotics.

Kanavel's Signs. Pain with passive extension (often the first sign seen) Percussion tenderness (tenderness over entire length of flexor tendon sheath) Uniform swelling (symmetric finger swelling along length of the tendon sheath) Flexion posture (flexed posture of involved digit at rest to minimize pain)

2019年1月28日 · The clinical diagnosis of FTS is based on the work of Dr. Allen B. Kanavel who described the four cardinal signs as: Fusiform swelling. Pain with passive extension of the digit. Tenderness over the flexor sheath. The digit held in slight flexion at rest.

2024年1月8日 · Identify the cardinal signs of pyogenic flexor tenosynovitis, including flexor sheath tenderness, flexed positioning of the affected digit, painful passive digital extension, and fusiform swelling.

Kanavel's sign is a clinical sign found in patients with infection of a flexor tendon sheath in the hand (pyogenic flexor tenosynovitis), a serious condition which can cause rapid loss of function of the affected finger. [1] The sign consists of four components: [2] the …

2017年10月6日 · Physical examination, including evaluation of Kanavel’s four cardinal signs, is the primary mode of diagnosis for flexor tenosynovitis (FTS). The mainstay treatment of FTS is the same as any other abscess: surgical debridement and irrigation, followed by IV antibiotics; occasionally early identified cases may be treated with IV antibiotics alone.

Kanavel’s four cardinal signs frequently are used as the primary diagnostic clinical criteria for pyogenic flexor tenosynovitis, and the presence of these signs is often the main criterion used in the decision toward proceeding with operative treatment of these infections.

Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative flexor tenosynovitis, is a closed-space infection of the flexor tendon sheath of the hand and remains a challenging problem within the realm of hand surgery. PFT remains a common problem and has been shown to make up 2.5 to 9.4% of all hand infections. 1 2.

2024年3月1日 · Flexor tenosynovitis (FTS) is a deep space infection of an upper extremity digit which carries a high rate of morbidity. This review highlights the pearls and pitfalls of FTS, including presentation, diagnosis, and management in the emergency department (ED) based on current evidence.

2023年10月13日 · An overview of flexor sheath infections (infective flexor tenosynovitis), including aetiology, Kanavel's signs of flexor sheath infection, immediate management and surgical management.