This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Tenosynovitis (suppurative, hand flexor tendons)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Suppurative tenosynovitis of the hand is a rare condition of serious consequence. The affected finger is painful on passive extension, restricted in movement, flexed at rest, swollen and tender to palpation. Sings of inflammation may be localised to the volar aspect of the digit.

The index, middle and ring fingers are most frequently affected. Very rare thumb and little finger infections can progress to infection of the radial and ulnar bursa.

Staphylococcus aureus entering through a perforating wound is the most common cause. Caught early, splinting, elevation and intravenous antibiotics may suffice. The first line antibiotic is flucloxacillin, or metronidazole for bite wounds.

Surgery is considered if:

  • the patient presents more than 48 hours after the onset of symptoms
  • there is no improvement with 24 hours of antibiotics
  • there is pain on extension of the finger

Dangerous complications are necrosis of the tendon, adhesion formation and loss of finger function.


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.