Flexor tenosynovitis - hand
Right hand middle finger swelling - 2 yrs. No trauma.
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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.
Surgical exploration was done. Histopathology revealed a granulomatous infective etiology.