Continuous Postoperative Catheter Irrigation is not Necessary for the Treatment of Suppurative Flexor Tenosynovitis

2000 ◽  
Vol 25 (3) ◽  
pp. 304-307 ◽  
Author(s):  
S. LILLE ◽  
T. HAYAKAWA ◽  
M. W. NEUMEISTER ◽  
R. E. BROWN ◽  
E. G. ZOOK ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Pyogenic Flexor Tenosynovitis ◽  
Flexor Tenosynovitis ◽  
Catheter Irrigation

The records of 75 patients admitted with pyogenic flexor tenosynovitis at two academic centers were reviewed. The functional outcomes of patients who received intraoperative irrigation only ( n=20) and those that had both intraoperative irrigation and continuous postoperative irrigation ( n=55) were compared. There were no statistically significant differences between the outcomes in the two groups.

scholarly journals Comparison of Open Drainage Versus Closed Catheter Irrigation for Treatment of Suppurative Flexor Tenosynovitis

Hand ◽  
2016 ◽  
Vol 12 (6) ◽  
pp. 579-584 ◽  
Author(s):  
Trevor R. Born ◽  
Eric R. Wagner ◽  
Sanjeev Kakar
Keyword(s):  
Functional Outcomes ◽  
Tendon Sheath ◽  
Open Drainage ◽  
Prolonged Time ◽  
Duration Of Hospitalization ◽  
Time To Antibiotics ◽  
Poor Outcomes ◽  
Surgical Treatments ◽  
Flexor Tenosynovitis ◽  
Catheter Irrigation

Background: The purpose of this study was to review the outcomes associated with different surgical treatments in the management of suppurative flexor tenosynovitis (SFT). Methods: Patients treated by open drainage (OD) through a single incision and closed catheter irrigation (CCI) of the tendon sheath were evaluated from 2003 to 2009 at a single institution. Variables examined included culture results, time to surgery, duration of hospitalization and antibiotic therapy, pain, reoperation, and functional outcomes were recorded. Statistical analyses used included parametric and nonparametric t tests. Results: Twenty-four patients were treated for SFT with a mean follow-up of 3 ± 2 years. There were 13 (100%) males in the OD group compared to 8 (72%) males within the CCI group. Ninety-two percent of patients who underwent OD and 100% who underwent CCI reported none or mild pain. There were no differences between the 2 groups with regard to functional outcome scores. Factors leading to worse functional outcomes included prolonged time to receiving antibiotics and Staphylococcus aureus infection. Smokers required prolonged antibiotic treatment compared to nonsmokers. Accounting for planned returns to the operating room, there was no difference in reoperation rates between the OD or CCI groups. Conclusions: Surgical treatment of SFT with either OD or CCI resulted in similar outcomes for pain, function, and need for reoperation. Factors that lead to poor outcomes include S aureus culture, prolonged time to antibiotics, and smoking.

PYOGENIC FLEXOR TENOSYNOVITIS

Hand Clinics ◽  
1998 ◽  
Vol 14 (4) ◽  
pp. 567-578
Author(s):  
S. David Boles ◽  
Christopher C. Schmidt
Keyword(s):  
Pyogenic Flexor Tenosynovitis ◽  
Flexor Tenosynovitis

scholarly journals Development of a Murine Model of Pyogenic Flexor Tenosynovitis

2020 ◽  
Author(s):  
Bowen Qiu ◽  
Justin Cobb ◽  
Alayna Loiselle ◽  
Constantinos Ketonis
Keyword(s):  
Murine Model ◽  
Tendon Sheath ◽  
Cellular Infiltrate ◽  
Cellular Mechanisms ◽  
Multiple Comparison Test ◽  
Hematoxylin Staining ◽  
Flexor Tendon Sheath ◽  
Pyogenic Flexor Tenosynovitis ◽  
Novel Therapeutic Strategies ◽  
Flexor Tenosynovitis

ABSTRACTBackgroundTo demonstrate the plausibility of a murine model of pyogenic flexor tenosynovitis.Methods2μL of sterile PBS or bioluminescent Xen29 Staphylococcus aureus was administered to the tendon sheath of 36 male C57BL/6J mice. The infectious course was monitored by bioluminescence (BLI) signal via IVIS imaging and recording of weight change. The infected hind paws were harvested at four time points: 24 hours, 72 hours, 1 week and 2 weeks for histopathology using Alcian Blue hematoxylin staining. Two-way ANOVA with Sidak’s multiple comparison test was used for statistical analysis.ResultsThe infected cohort displayed significantly elevated bioluminescent values, reductions in weight, and exhibited swelling of the infected digit throughout the course of infection. By day 7 most infected mice saw a substantial decrease in BLI signal intensity, however two infected mice exhibited persistent BLI intensity through day 14. Histopathology of the infected cohort showed tissue disorganization and the presence of a cellular infiltrate in and around the flexor tendon sheath.ConclusionsA murine model of pyogenic flexor tenosynovitis is possible. Further optimization of the model offers an experimental platform for investigation of the pathophysiology of pyogenic flexor tenosynovitis.Clinical RelevanceThis animal model can be utilized in order to elucidate the basic molecular/cellular mechanisms of pyogenic flexor tenosynovitis while simultaneously evaluating novel therapeutic strategies.

Factors Affecting the Prognosis of Pyogenic Flexor Tenosynovitis

2007 ◽  
Vol 89 (8) ◽  
pp. 1742-1748 ◽  
Author(s):  
Hee-Nee Pang ◽  
Lam-Chuan Teoh ◽  
Andrew K.T. Yam ◽  
Jonathan Yi-Liang Lee ◽  
Mark E. Puhaindran ◽  
...  
Keyword(s):  
Factors Affecting ◽  
Pyogenic Flexor Tenosynovitis ◽  
Flexor Tenosynovitis
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