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Flexor tenosynovitis

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https://www.readbyqxmd.com/read/27847009/chronic-tenosynovitis-of-the-hand-caused-by-mycobacterium-heraklionense
#1
Nana Aburjania, Warren C Hammert, Meenakshi Bansal, Brendan F Boyce, Sonal S Munsiff
Non-tuberculous mycobacteria are increasingly recognized as a cause of infection in both immunocompromised and immunocompetent hosts. Mycobacterium heraklionense is a recently described member of the Mycobacterium terrae complex. Herein we report a case of M. heraklionense chronic flexor tenosynovitis in the hand, managed with surgery and antibiotics.
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27843364/radial-extracorporeal-shockwave-therapy-for-the-treatment-of-finger-tenosynovitis-trigger-digit
#2
Nikos Malliaropoulos, Rosanna Jury, Debasish Pyne, Nat Padhiar, Jennifer Turner, Vasileios Korakakis, Maria Meke, Heinz Lohrer
INTRODUCTION: Stenosing tenosynovitis that is characterized by the inability to flex the digit smoothly, usually leads to prolonged rehabilitation or surgery. STUDY DESIGN: This case series is a retrospective cohort study. PURPOSE: The aim of this case series was to evaluate the effectiveness of radial extracorporeal shockwave therapy (rESWT) for the treatment of stenosing tenosynovitis of the digital flexor tendon (trigger digit). METHODS: A retrospective analysis of 44 patients (49 fingers) treated with an individually adapted rESWT protocol was conducted...
2016: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/27836497/flexor-tendon-complications-in-comminuted-distal-radius-fractures-treated-with-anatomic-volar-rim-locking-plates
#3
Adnan Kara, Haluk Celik, Yunus Oc, Metin Uzun, Mehmet Erdil, Cihangir Tetik
OBJECTIVE: Anatomic volar rim locking plates are designed with the aim of treating intraarticular distal radius fractures. When used to treat comminuted distal radius fractures, these plates can damage the flexor tendons. In this study, we sought to determine the radiological and functional results and rate of complications of these plates. METHODS: We retrospectively reviewed the records of 36 patients (28 males, 8 females; mean age: 46.4 years) with AO/OTA Type C2-C3 distal radius fractures treated with anatomic volar rim distal radius plates between January 2011 and December 2014...
November 8, 2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27805330/diagnostic-accuracy-of-ultrasonography-in-detection-of-destructive-changes-in-small-joints-of-hands-in-patients-of-rheumatoid-arthritis-a-comparison-with-magnetic-resonance-imaging
#4
Sonal Saran, Meenu Bagarhatta, Renu Saigal
BACKGROUND: Ultrasonography can be used in early Rheumatoid Arthritis to determine and to follow parameters of joint inflammation, such as effusion, synovitis, and marginal erosion that can be radiologically occult. We therefore planned a study to investigate whether Ultrasonography could provide information on signs of inflammation and destruction in Rheumatoid Arthritis affected finger joints that was not available with Radiography and compared it to the information provided by Magnetic resonance imaging...
November 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27798003/medical-claims-based-case-control-study-of-temporal-relationship-between-clinical-visits-for-hand-syndromes-and-subsequent-diabetes-diagnosis-implications-for-identifying-patients-with-undiagnosed-type-2-diabetes-mellitus
#5
Wen-Hsuan Hou, Chung-Yi Li, Lu-Hsuan Chen, Liang-Yi Wang, Li-Chieh Kuo, Ken N Kuo, Hsiu-Nien Shen, Chang-Ta Chiu
OBJECTIVES: To investigate whether a temporal relationship is present between clinical visits for diabetes-related hand syndromes (DHSs) and subsequent type 2 diabetes mellitus (T2DM) diagnosis and, accordingly, whether DHSs can be used for identifying patients with undiagnosed T2DM. DESIGN: This study had a case-control design nested within a cohort of 1 million people from the general population, which was followed from 2005 to 2010. The odds of prior clinical visits for DHSs, namely carpal tunnel syndrome (CTS), flexor tenosynovitis, limited joint mobility and Dupuytren's disease, were estimated for cases and controls...
October 20, 2016: BMJ Open
https://www.readbyqxmd.com/read/27787635/treatment-of-digital-pyogenic-flexor-tenosynovitis-single-open-debridement-irrigation-and-primary-wound-closure-followed-by-antibiotic-therapy
#6
Bernd Hohendorff, H Sauer, F Biber, J Franke, C K Spies, L P Müller, C Ries
INTRODUCTION: Digital pyogenic flexor tenosynovitis requires fast, aggressive treatment. Although this infection occurs frequently, treatment consensus is lacking. MATERIALS AND METHODS: Between 2011 and 2015, 22 patients with acute pyogenic flexor tenosynovitis were treated with a single open debridement followed by irrigation; the incision was closed and a 10-day antibiotic course was administered. The average incision-to-suture time was 25 min, and the average hospital stay was 4 days...
October 27, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27740459/modified-percutaneous-trigger-finger-release
#7
J-D Werthel, M Cortez, B T Elhassan
: Stenosing tenosynovitis or trigger finger is one of the most common disorders that affect the flexor tendon apparatus of the hand. Percutaneous release has been previously reported to be easier, quicker, less invasive and less costly than open surgery. The purpose of this study was to report the outcome of an alternative percutaneous trigger finger release technique. From March 2008 to January 2014, 92 patients (128 fingers) who underwent the alternative percutaneous trigger finger release, with a minimum of 6 months follow-up were included...
June 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27616827/stenosing-tenosynovitis-due-to-excessive-texting-in-an-adolescent-girl-a-case-report
#8
Jason D Johnson, Michael P Gaspar, Eon K Shin
We present a case report of stenosing tenosynovitis of the flexor pollicis longus tendon in an adolescent girl who required surgical release after failing conservative measures. The patient had no other risk factors, aside from her excessive texting, which we postulate led to her condition. Although there have been a few reports of tendinitis and tenosynovitis secondary to texting, we believe this is the first in the literature to report trigger thumb requiring surgical release in an adolescent.
April 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27611797/tuberculosis-tenosynovitis-with-multiple-rice-bodies-of-the-flexor-tendons-in-the-wrist-a-case-report
#9
Serkan Bayram, Ali Erşen, Murat Altan, Hayati Durmaz
INTRODUCTION: One of the infectious causes of wrist tenosynovitis is Mycobacterium tuberculosis. Tendon sheath involvement is rare. Herein, we report the diagnosis and treatment of a patient with neglected wrist flexor tendon sheath tuberculosis. PRESENTATION OF CASE: We report the diagnosis and treatment of a man aged 50 years with neglected wrist flexor tendon sheath tuberculosis. DISCUSSION: In patients with tendon sheath involvement, symptoms are generally non-specific such as pain and swelling; therefore, it can be diagnosed late due to the lack of systemic symptoms...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27589967/tarsal-tunnel-disease-and-talocalcaneal-coalition-mri-features
#10
Erin FitzGerald Alaia, Zehava Sadka Rosenberg, Jenny T Bencardino, Gina A Ciavarra, Ignacio Rossi, Catherine N Petchprapa
OBJECTIVE: To assess, utilizing MRI, tarsal tunnel disease in patients with talocalcaneal coalitions. To the best of our knowledge, this has only anecdotally been described before. MATERIALS AND METHODS: Sixty-seven ankle MRIs with talocalcaneal coalition were retrospectively reviewed for disease of tendons and nerves of the tarsal tunnel. Interobserver variability in diagnosing tendon disease was performed in 30 of the 67 cases. Tarsal tunnel nerves were also evaluated in a control group of 20 consecutive ankle MRIs...
November 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27567794/the-inclusion-of-homemakers-as-an-occupation-amongst-people-with-upper-limb-repetitive-stress-injuries
#11
Zixian Yang, Therma Wai Chun Cheung
BACKGROUND: Risk factors contributing to upper limb repetitive stress injuries (RSIs) have been well-documented in literature, but there has been no such data in Singapore. OBJECTIVE: To investigate potential contributory factors to upper limb RSIsMETHODS: We performed a retrospective cohort study of clients who were referred to outpatient upper limb rehabilitation in 2012. Demographic information was retrieved from an electronic documentation system. Descriptive analyses were performed using Statistical Package for Social Sciences (SPSS) Version 17...
August 12, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27485041/prevalence-of-hand-syndromes-among-patients-with-diabetes-mellitus-in-taiwan-a-population-based-study
#12
Wen-Hsuan Hou, Chung-Yi Li, Lu-Hsuan Chen, Liang-Yi Wang, Ken N Kuo, Hsiu-Nien Shen, Ming-Fong Chang
BACKGROUND: Population-based data for diabetic hand syndrome (DHS) are limited. The aim of the present epidemiological study was to estimate the overall and cause-specific prevalence and rate ratio (RR) of DHS in patients with diabetes. METHODS: The present study was a cross-sectional study based on a random sample of 57 093 diabetics and matched controls, both identified from Taiwan National Health Insurance claims in 2010. The DHS analyzed in the present study included carpal tunnel syndrome (CTS), stenosing flexor tenosynovitis (SFT), limited joint mobility (LJM), and Dupuytren's disease (DD)...
August 3, 2016: Journal of Diabetes
https://www.readbyqxmd.com/read/27454645/chronic-synovitis-after-open-carpal-tunnel-decompression
#13
Justin Yousef, Patrick Chan, Richard Rahdon
Open carpal tunnel decompression is a common procedure with potential long-term complications such as scar tenderness, pillar pain and neuroma. We present the case of a 65 year-old male with chronic lipomatous hypertrophy of the wrist and chronic flexor tenosynovitis after open carpal tunnel release for its rarity and severity of symptoms that required further surgery.
June 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27385836/conservative-management-of-posterior-ankle-impingement-a-case-report
#14
Isabelle Senécal, Nadia Richer
OBJECTIVE: To describe the pain and functional improvements of a patient with posterior ankle impingement following a treatment plan incorporating soft tissue therapy, chiropractic adjustment and a progressive rehabilitation program. CLINICAL FEATURES: A 37-year- old male presented with posterolateral ankle pain exacerbated by plantar flexion two weeks after sustaining an inversion ankle sprain. Oedema was present and the patient was describing a sensation of instability while walking...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27358092/coexistent-digital-gouty-and-infective-flexor-tenosynovitis
#15
Qasim Akram, Michael Hughes, Lindsay Muir
Flexor tenosynovitis of the hand is often caused by trauma or infection. Gouty tenosynovitis is an uncommon presentation of the condition and is usually misdiagnosed as infection with the patient undergoing surgery. The coexistence of infection and gout causing flexor tenosynovitis has never been described before in the literature; we report the first ever case and emphasise the importance of its awareness for optimal treatment. A 54-year-old man was initially diagnosed and treated as having infective flexor tenosynovitis and, later, due to a lack of improvement in his symptoms, was discovered to also have gout...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27305747/-stenosing-flexor-tenosynovitis-common-practice-of-family-physicians-orthopedic-and-hand-surgeons
#16
Oren Barzel, Ohad Avny, Danit Langer, Michael Chernofsky, Gil Almog, Shai Luria
BACKGROUND: The trigger finger is a common condition of the hand that is treated by family physicians, orthopedic and hand surgeons. The patients suffer from pain, triggering of the finger and may develop a flexion contracture of the finger, causing significant functional limitations. AIM: The objectives of this study were to evaluate factors involved in the diagnosis and treatment of this condition, as well as the differences in treatment between specialists. METHODS: The different specialists were asked to rate the importance of symptoms, examination and imaging studies regarding the decision to refer a patient for surgery as well as suggest the treatment of a hypothetical patient complaining of typical symptoms...
March 2016: Harefuah
https://www.readbyqxmd.com/read/27284509/arthroscopic-release-of-flexor-hallucis-longus-tendon-sheath-in-female-ballet-dancers-dynamic-pathology-surgical-technique-and-return-to-dancing-performance
#17
Hiroki Funasaki, Hiroteru Hayashi, Kanako Sakamoto, Rei Tsuruga, Keishi Marumo
Stenosing tenosynovitis of the flexor hallucis longus (FHL) tendon is known as a major overuse lesion in female dancers. We describe arthroscopic surgical techniques in relation to the dynamic pathology of the disease. Crepitus and pain on moving the great toe with the ankle in plantar flexion on preoperative examination confirm the diagnosis of FHL stenosing tenosynovitis even if the os trigonum is not evident. The ankle is approached through standard posterolateral and posteromedial portals. A 4.0-mm-diameter 30° arthroscope is used...
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27206398/pyogenic-flexor-tenosynovitis-caused-by-shewanella-algae
#18
Erin C Fluke, Nikoletta L Carayannopoulos, Ronald W Lindsey
Pyogenic flexor tenosynovitis is an orthopedic emergency most commonly caused by Staphylococcus aureus and streptococci and occasionally, when associated with water exposure, Mycobacterium marinum. Shewanella algae, a gram-negative bacillus found in warm saltwater environments, has infrequently been reported to cause serious soft tissue infections and necrosis. In this case, S. algae caused complicated flexor tenosynovitis requiring open surgical irrigation and debridement. Flexor tenosynovitis caused by S...
July 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27117023/acute-felon-and-paronychia-antibiotics-not-necessary-after-surgical-treatment-prospective-study-of-46-patients
#19
Jérôme Pierrart, Damien Delgrande, William Mamane, Daniel Tordjman, Emmanuel H Masmejean
Paronychia and felon are the most common infections of the hand. Surgical treatment is required once an abscess develops, but systematic use of postoperative antibiotic therapy remains open for discussion. Antibiotics both favor the selection of resistant bacteria and increase the cost of treatment. To our knowledge, no study has demonstrated their benefit following excision, yet many practitioners prescribe them systematically and empirically. In our current practices, we do not use antibiotic coverage following excision of uncomplicated paronychia or felon (no signs of arthritis, osteitis, flexor tenosynovitis, lymphangitis), except in potentially at-risk patients (immunosuppressed, diabetic, cardiac valve prosthesis recipient)...
February 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27094944/is-ankle-involvement-underestimated-in-rheumatoid-arthritis-results-of-a-multicenter-ultrasound-study
#20
Marwin Gutierrez, Carlos Pineda, Fausto Salaffi, Bernd Raffeiner, Tomas Cazenave, Gabriela A Martinez-Nava, Chiara Bertolazzi, Florentin Vreju, Nevsun Inanc, Eduardo Villaman, Andrea Delle Sedie, Fernando Dal Pra, Marcos Rosemffet
The aim of this study is to investigate the prevalence of subclinical ankle involvement by ultrasound in patients with rheumatoid arthritis (RA). The study was conducted on 216 patients with RA and 200 healthy sex- and age-matched controls. Patients with no history or clinical evidence of ankle involvement underwent US examination. For each ankle, tibio-talar (TT) joint, tibialis anterior (TA) tendon, extensor halux (EH) and extensor common (EC) tendons, tibialis posterior (TP) tendon, flexor common (FC) tendon and flexor hallux (FH) tendon, peroneous brevis (PB) and longus (PL) tendons, Achilles tendon (AT) and plantar fascia (PF) were assessed...
April 19, 2016: Clinical Rheumatology
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