What is inflammatory flexor tenosynovitis?

Updated: Aug 27, 2018
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
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Answer

Inflammatory flexor tenosynovitis is characterized by the following:

  • Usually the result of an underlying disease process
  • Presentation is indolent but progressive if therapy is not initiated
  • Similar findings to those found in infectious FT eventually present
  • Swelling is the most common initial finding
  • Hallmark is a difference in active, versus passive, flexion
  • As the tissue expands and impingement occurs, pain and restricted motion ensue

Delayed presentations can have the appearance of fulminant FT with all Kanavel signs or may involve tendon rupture if the patient delays seeking treatment long enough.

See Clinical Presentation for more detail.


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