Flexor tenosynovitis - hand

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

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

Patient Data

Age: 15 years
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 a tear.

No effusion in the MCP or IP joints. Normal extensor tendons.

Case Discussion

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

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