Take Home Points
- Think about flexor tenosynovitis in a patient with atraumatic finger pain. They may have any combination of these signs:
- Tenderness along the course of the flexor tendon
- Symmetrical swelling of the finger – often called the sausage digit
- Pain on passive extension of the finger and
- Patient holds the finger in a flex position at rest for increased comfort
- Give antibiotics to cover staph, strep and possibly gram negatives.
- Get your surgeon to see the patient, while we can get the antibiotics started, these patients need admission and may require surgical intervention.
Mailhot T, Lyn ET: Hand; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 50: p 534-571
OrthoBullets: Pyogenic Flexor Tenosynovitis
Ped EMMorsels: Flexor Tenosynovitis