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16/03/2026
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Nguyễn, M. S., Phạm, N. Đình, & Nguyễn, M. K. (2026). FLEXOR TENDON SHEATH TENOSYNOVITIS: A CLINICAL CASE REPORT AND LITERATURE REVIEW. Vietnam Medical Journal, 560(1). https://doi.org/10.51298/vmj.v560i1.17741
FLEXOR TENDON SHEATH TENOSYNOVITIS: A CLINICAL CASE REPORT AND LITERATURE REVIEW
Main Article Content
Abstract
Clinical examination, particularly the assessment of the four classic Kanavel signs, is the primary method for diagnosing flexor tendon sheath infections of the hand. Management of this condition progresses through multiple stages, from medical treatment to surgery as the final step, including debridement, irrigation, drainage, and intravenous antibiotics. Diabetes and peripheral vascular disease, as well as underlying conditions such as gout and rheumatoid arthritis, are risk factors for long-term complications such as joint stiffness or even amputation.
Article Details
Keywords
Flexor tenosynovitis, Hand infection, Flexor sheath, Kanavel sign.
References
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5. Bishop AT. Infections of the hand: flexor tenosynovitis and deep space infections. Hand Clin. 1998;14(4):557–571.
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2. B A Kraemer 1, V L Young, C Arfken (1990). Stenosing flexor tenosynovitis. South Med J. 1990 Jul;83(7):806-11.
3. Ryzewicz M, Wolf JM. Trigger digits: principles, management, and complications. Journal of Hand Surgery (Am). 2006; 31(1):135–146.
4. Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Current Reviews in Musculoskeletal Medicine. 2008; 1(2):92–96.
5. Bishop AT. Infections of the hand: flexor tenosynovitis and deep space infections. Hand Clin. 1998;14(4):557–571.
6. Pang HN, Teoh LC, Yam AKT, Lee JY. Factors affecting the prognosis of pyogenic flexor tenosynovitis. J Bone Joint Surg Am. 2007;89(7):1478–1486