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Tenosynovitis

Revision as of 19:10, 2 September 2024 by Nikolas (Sọ̀rọ̀ | contribs) (Created page with "<section begin="orthopaedics" />* Tenosynovitis = tendovaginitis = inflammation of a tendon and its synovial sheath * Females > males * Etiology ** Repetitive use of tendon ** Rheumatological diseases ** Bacterial infection * Tendons of the fingers and wrist are most commonly affected * Clinical features ** Pain on passive extension of affected tendon ** Finger slightly flexed at rest * Special types ** Stenosing tenosynovitis (trigger finger) *** Thickening of one of th...")
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  • Tenosynovitis = tendovaginitis = inflammation of a tendon and its synovial sheath
  • Females > males
  • Etiology
    • Repetitive use of tendon
    • Rheumatological diseases
    • Bacterial infection
  • Tendons of the fingers and wrist are most commonly affected
  • Clinical features
    • Pain on passive extension of affected tendon
    • Finger slightly flexed at rest
  • Special types
    • Stenosing tenosynovitis (trigger finger)
      • Thickening of one of the annular pulleys causes the finger to be locked in a flexed position
      • Idiopathic
      • Mostly affect ring finger or thumb (trigger thumb)
    • De Quervain tenosynovitis
      • Thickening of the abductor pollicis longus and extensor pollicis brevis
      • Due to repetitive abduction and extension of the thumb
      • Causes swelling of radial styloid process
  • Treatment
    • Surgical incision of the affected tendon