Single side hole irrigation--a simple method of catheter irrigation of the tendon sheath.
Treatment of septic flexor tenosynovitis at the hand requires significant hospital resources in terms of operative time and subsequent management of tendon irrigation. Delayed recovery or treatment failure may require re-irrigation and drainage. This may be due to failure to adequately irrigate the entire flexor sheath. We describe a method of closed tendon sheath irrigation which is simple to use and ensures that the complete tendon sheath is adequately irrigated. Unwieldy continuous irrigation is avoided and patient inconvenience is kept to a minimum.
Hand Service, Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, USA. hannan@ireland.com
Hannan
H
Mullett
Michael
M
Hausman
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002404:Catheterization / Q000379:methods; D005383:Finger Injuries / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013717:Tenosynovitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D007507:Therapeutic Irrigation / Q000379:methods*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents