[Phlegmon of the digital and digital-carpal synovial sheaths].
The development of infection within the digital synovial sheaths of the middle fingers, or digital-carpal sheaths of the thumb and the little finger, represents a surgical emergency. Due more often to direct infection than to its spread, such phlegmons risk damage to the finger flexor apparatus, within hours in the first case and within days in the second. Diagnosis is made clinically. It is based on pain at the upper cul-de-sac of the sheath, distinct from that of the causal point. Progression consists of three stages according to presence and quantity of pus in the sheath, the appearance of the synovial membrane and tendon involvement. This diagnosis can be made only at surgery. Each stage requires specific treatment.
SOS Mains Boucicaut service d'orthopédie-traumatologie et chirurgie réparatrice hôpital Boucicaut, Paris.
J P
JP
Lemerle
D002481:Cellulitis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D005385:Fingers; D006225:Hand; D006801:Humans; D007239:Infections / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D000074402:Synovectomy; D013583:Synovial Membrane / Q000503:physiopathology; D052256:Tendinopathy / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors
Phlegmon des gaines digitales et digito-carpiennes.