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Pyogenic Flexor Tenosynovitis: Evaluation and Treatment Strategies
Journal article   Open access   Peer reviewed

Pyogenic Flexor Tenosynovitis: Evaluation and Treatment Strategies

Talia Chapman and Asif M. Ilyas
Journal of hand and microsurgery, v 11(3), pp 121-126
01 Dec 2019
PMID: 31814662
url
https://doi.org/10.1055/s-0039-1700370View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Review
Pyogenic flexor tenosynovitis (PFT) is a common closed-space infection of the flexor tendon sheaths of the hand, which remains one of the most challenging problems facing hand surgeons. PFT goes by several names including septic or suppurative flexor tenosynovitis. Adequate treatment requires timely diagnosis and often prompt surgical treatment. However, despite prompt treatment, and regardless of the protocol used, complication rates as high as 38% have been reported in the literature. Moreover, even with successful eradication of the infection, a significant proportion of patients will suffer from continuing pain, swelling, stiffness, loss of composite flexion, weakness, and recurrence potentially requiring amputation. This review will focus on current evidence-based antimicrobial and surgical treatment strategies to maximize treatment outcomes.

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10 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
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