Flexor tenosynovitis - hand

Case contributed by Dr Maulik S Patel

Presentation

Right hand middle finger swelling - 2 yrs. No trauma.

Patient Data

Age: 16 yrs
Gender: Female
Ultrasound

There is diffuse synovial thickening with mild effusion involving flexor digitorum superficialis and profundus tendons; starting from the mid palm region. There is mild hypervascularity. Both flexor tendons  show echopattern without tear.

There is no effusion in the metacarpo-phalangeal joint or interphalangeal joint .

Extensor tendons were normal.

Case Discussion

Surgical exploration was done. Histopathology revealed a granulomatous infective etiology.

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Case information

rID: 48661
Case created: 19th Oct 2016
Last edited: 19th Nov 2016
Inclusion in quiz mode: Included

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