Emergency Cases Northwest Group

032 Fat Finger

Situation

Man had a swollen finger. It was Pyogenic Flexor Tenosynovitis.

Background

40 year old man presented with index finger swollen and painful, no trauma. Clinically diagnosed with Pyogenic Flexor Tenosynovitis. Antibiotics commenced and had emergency washout in theatre.

Assessment

It wasn’t a minor infection or a soft tissue injury.

Recommendation

Know that Pyogenic Flexor Tenosynovitis is an emergency and usually needs urgent washout in theatre +- debridement as well as antibiotics

Diagnose it using Kanavel’s signs:

Image from EM in 5

Image from Orothobullets

PLEASE DO NOT INCLUDE ANY PATIENT IDENTIFIABLE DATA OR GEO-LOCATION DATA IN THE SUBMISSION OR IN ANY ATTACHED IMAGES

Emergency Cases Northwest Group