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*Tenosynovitis of the flexor sheath of the finger or thumb as a result of repetitive use | *Tenosynovitis of the flexor sheath of the finger or thumb as a result of repetitive use | ||
*Also known as stenosing tenosynovitis | *Also known as stenosing tenosynovitis | ||
*Associated with: | |||
**DM | |||
**RA | |||
**Repetitive strain | |||
**"Texting tendonitis" | |||
==Clinical Features== | ==Clinical Features== | ||
Revisión del 00:08 25 dic 2015
Background
- Tenosynovitis of the flexor sheath of the finger or thumb as a result of repetitive use
- Also known as stenosing tenosynovitis
- Associated with:
- DM
- RA
- Repetitive strain
- "Texting tendonitis"
Clinical Features
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Diagnosis
Treatment
- Conservative therapy
- Rest
- NSAIDs
- Immobilization (buddy tape or finger splint)
Refractory cases may require steroid injection or surgery