DAANNNNNGGGGGGG THATS A FAT FINGER
Today or tonight, depends on how you look at it tbqh we’re gonna take a look at a surgical EMERGENCY (now I bet you’re paying attention)
> FLEXOR TENOSYNOVITIS<
Infection of the digital flexor tendon sheath
Flexor sheaths are continguous w/ deep spaces of the hand
BE ON THE LOOK OUT FOR PENETRATING TRAUMA HISTORY
Man, this stuff sounds serious. If only there was a set of signs I could look out for.. wait, who is that knocking at the door?
OH SNAP IS KANAVEL
What’s that? Someones drowning down by the well? What? Huh? Thats a dated reference? Fair play
Back to the signs
KANAVEL SIGNS are what you should be looking for this generally clinical diagnosis
And,
Here
They
Are
PAIN WITH PASSIVE EXTENSION
PERCUSSION TENDERNESS OVER THE ENTIRE LENGTH OF THE FLEXOR TENDON SHEATH
UNNNIIIFFOORRRMMM SWELLING ALONG THE LENGTH OF THE TENDON SHEATH
FLEX-FLEX-FLEX-FLEX-FLEXION POSTURE (THEY KEEP IT FLEXED TO MINIMIZE PAIN)
So fi you think you found one get an emergent hand surgery or ortho consult and start some anTIbiOTics broseph.
Its been a lovely chat with you all,
Besitos