How is tenosynovitis diagnosed?

Updated: Oct 25, 2017
  • Author: Mark R Foster, MD, PhD, FACS; Chief Editor: Harris Gellman, MD  more...
  • Print
Answer

If infection is suggested, culture of the suppurative synovial fluid is mandatory prior to beginning definitive antimicrobial treatment. These cultures should include the following samples:

  • Aerobic
  • Anaerobic
  • Fungal
  • Acid-fast bacilli (AFB)
  • Atypical AFB

Diagnostic arthrocentesis is indicated if joint effusion is present with tenosynovitis, because most patients with disseminated gonococcal infection have coexistent septic arthritis.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!