What is the prognosis of infectious flexor tenosynovitis?

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

Cases of infectious FT that present early and have no comorbidities have a good prognosis. Patients that present with fulminant infection, those with chronic infection, and those with impaired immune status have increased risk of long-term complications and impairment.

The most common complication in FT is loss of range of motion (ROM) secondary to adhesions. If loss of functional motion persists, tenolysis is considered at 4 months post surgery. One study showed improvement between the 6-week postoperative evaluation and 3-month follow-up.

The second major complication is soft-tissue necrosis, which is more commonly seen in patients with delayed presentation or in those with diabetes.

For patients with inflammatory FT, flexor tendon rupture is a potential complication.


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