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.
by Dr. Y. Jay Lin
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