Tenosynovitis Questions & Answers

Updated: Jan 06, 2021
  • Author: Christopher S Crowe, MD; Chief Editor: Harris Gellman, MD  more...
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Questions & Answers

Overview

What is tenosynovitis?

What are the signs and symptoms of pyogenic flexor tenosynovitis (PFT)?

What are the signs and symptoms of noninfectious inflammatory tenosynovitis?

How is tenosynovitis diagnosed?

How is pyogenic flexor tenosynovitis (PFT) treated?

How are idiopathic and inflammatory flexor tenosynovitis treated?

What is the pathophysiology of pyogenic flexor tenosynovitis (PFT)?

What is the pathophysiology of idiopathic or stenosing tenosynovitis?

What is the pathophysiology of rheumatoid arthritis-related tenosynovitis?

What is the role of crystalline deposition in the pathophysiology of tenosynovitis?

What causes infectious tenosynovitis?

What causes idiopathic or stenosing tenosynovitis?

What causes inflammatory tenosynovitis?

What is the prevalence of tenosynovitis?

What is the prevalence of infectious tenosynovitis?

What is the prevalence of idiopathic or stenosing tenosynovitis?

What is the prevalence of inflammatory tenosynovitis?

What is the prognosis for infectious tenosynovitis?

Presentation

Which clinical history findings are characteristic of tenosynovitis?

Which clinical history findings are characteristic of infectious tenosynovitis?

Which clinical history findings are characteristic of idiopathic or stenosing tenosynovitis?

Which clinical history findings are characteristic of inflammatory tenosynovitis?

Which physical exam findings are characteristic of infectious tenosynovitis?

Which physical exam findings are characteristic of idiopathic or stenosing tenosynovitis?

Which physical exam findings are characteristic of inflammatory tenosynovitis?

DDX

Which conditions are included in the differential diagnoses of tenosynovitis?

What are the differential diagnoses for Tenosynovitis?

Workup

What is the initial approach in the emergency department in cases of suspected tenosynovitis?

What is the role of lab tests in the workup of tenosynovitis?

What is the role of imaging studies in the workup of tenosynovitis?

What is the role of synovial fluid aspiration in the workup of tenosynovitis?

What is the role of arthrocentesis in the workup of tenosynovitis?

Which histologic findings are characteristic of tenosynovitis?

Treatment

What are the nonoperative treatment options for tenosynovitis?

What is the role of surgery in the treatment of tenosynovitis?

How is infectious tenosynovitis treated?

What are the nonsurgical treatments for idiopathic or stenosing tenosynovitis?

How is De Quervain tenosynovitis treated?

How are trigger digits treated?

What are the nonsurgical treatments for inflammatory flexor tenosynovitis?

What are the surgical treatments for infectious tenosynovitis?

What are the surgical treatments for idiopathic or stenosing tenosynovitis?

What are the surgical treatments for inflammatory tenosynovitis?

What is included in the postoperative care following surgical treatment of infectious tenosynovitis?

What is included in the postoperative care following surgical treatment of inflammatory tenosynovitis?

Which specialist consultations are beneficial to patients with tenosynovitis?

What is included in the long-term monitoring of patients with infectious tenosynovitis?

What is included in the long-term monitoring of patients with inflammatory tenosynovitis?

Medications

What is role of medications in the treatment of tenosynovitis?

Which medications in the drug class Corticosteroids are used in the treatment of Tenosynovitis?

Which medications in the drug class Antibiotics are used in the treatment of Tenosynovitis?

Which medications in the drug class Nonsteroidal Anti-inflammatory Drugs (NSAIDs) are used in the treatment of Tenosynovitis?