Septic Flexor Tenosynovitis

Henry, Mark

doi:10.1016/j.jhsa.2010.11.033

Cited by 13 publications

(8 citation statements)

References 6 publications

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“…Our findings support the use of systemic antibiotics in the treatment of PFT, as these cases showed better patient-reported outcomes and arc of motion outcomes with fewer complications for patients with varying severity of disease. Some reported on initial surgical debridement followed by IV antibiotic use postoperatively (Bauman et al, 2005), whereas others suggested that antibiotic therapy should be initiated as soon as the diagnosis is made (Clark, 2003;Dailiana et al, 2008;Henry, 2011). We could not differentiate outcomes between these approaches.…”

Section: Discussionmentioning

confidence: 92%

“…Some reported on initial surgical debridement followed by intravenous (IV) antibiotic use postoperatively, (Bauman et al, 2005) whereas others suggested that antibiotic therapy should be initiated as soon as the diagnosis is made. (Clark, 2003; Dailiana, 2008; Henry, 2011) We could not differentiate outcomes between these approaches. Of note, most of these studies predate the availability of modern broad-spectrum IV antibiotics.…”

Section: Discussionmentioning

confidence: 98%

“…Additionally, no study reported measurable outcomes for PFT patients treated with IV antibiotics alone, although success with non-surgical treatment of PFT was described. (Clark, 2003; Clarkson 1963; Gaston and Greenberg, 2009; Gordon, 1951; Henry, 2011, Murray, 1951)…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of the management of acute pyogenic flexor tenosynovitis

Giladi

Malay

Chung

2015

J Hand Surg Eur Vol

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Pyogenic flexor tenosynovitis (PFT) is an aggressive closed-space infection that can result in severe morbidity. Although surgical treatment of PFT has been widely described, the role of antibiotic therapy is inadequately understood. We conducted a literature review of studies reporting on acute PFT management. Twenty-eight case series articles were obtained, all of which used surgical intervention with varied use of antibiotics. Inconsistencies amongst the studies limited summative statistical analysis. Our results showed that use of antibiotics as a component of therapy resulted in improved range of motion outcomes (54% excellent vs. 14% excellent), as did using catheter irrigation rather than open washout (71% excellent vs. 26% excellent). These studies showed benefits of early treatment of PFT and of systemic antibiotic use. As broad-spectrum antibiotics have changed the management of other infectious conditions, we must more closely evaluate consistent antibiotic use in PFT management.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 98%

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A systematic review of the management of acute pyogenic flexor tenosynovitis

Giladi

Malay

Chung

2015

J Hand Surg Eur Vol

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“…The treatment of suppurative flexor tenosynovitis (SFT) requires prompt surgical intervention. 10 Failure to do so can result in significant patient morbidity due to scarring within the flexor sheath, stiffness, and persistent infection. 21 Surgical techniques used to treat SFT include open drainage (OD) and debridement or closed catheter irrigation (CCI).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Open Drainage Versus Closed Catheter Irrigation for Treatment of Suppurative Flexor Tenosynovitis

Born

Wagner

2016

Hand (New York, N,Y.)

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“…Infections which present within 24 hours of onset may be treated conservatively with close observation, elevation, a resting splint and intravenous antibiotics (Henry, 2011). However, if symptoms do not resolve within 24 hours, surgical intervention is required.…”

Section: Treatmentmentioning

confidence: 99%

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

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A CIP catalogue record for this book is available from The British Library.This book is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. The user is advised to always check the product information and clinical procedures with the most up-to-date published product information and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or misuse or misapplication of material in this work.ISBN: 978-1-910634-37-0 (Hbk.) ISBN: 978-1-910634-38-7 (Pbk.) ISBN: 978-1-910634-39-4 (PDF) ISBN: 978-1-910634-40-0 (epub) ISBN: 978-1-910634-41-7 (mobi)

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Septic Flexor Tenosynovitis

Cited by 13 publications

References 6 publications

A systematic review of the management of acute pyogenic flexor tenosynovitis

A systematic review of the management of acute pyogenic flexor tenosynovitis

Comparison of Open Drainage Versus Closed Catheter Irrigation for Treatment of Suppurative Flexor Tenosynovitis

Textbook of Plastic and Reconstructive Surgery

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