title: Extensive open drainage for suppurative flexor tenosynovitis involving five digits: a case report.
abstract: An unusual case of suppurative tenosynovitis involving all five digits up to distal forearm in a 20-year-old male with no known risk factors is reported. We highlight the strategy of extensile skin incisions from the wrist to all five digits that allowed flexor sheath debridement, synovectomy, and infection resolution without causing skin flap ischemia. At three months, total active motion of 70% of contralateral hand was achieved.
authors.affiliation: Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore. tun.foo@gmail.com
authors.forename: Tun Lin
authors.initials: TL
authors.lastname: Foo
authors.forename: Ivan Tjun-Huat
authors.initials: IT
authors.lastname: Chua
authors.forename: Lester Wai-Mon
authors.initials: LW
authors.lastname: Chan
mesh_terms: D000328:Adult; D003646:Debridement; D004322:Drainage / Q000379:methods*; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D013492:Suppuration / Q000150:complications; D013717:Tenosynovitis / Q000150:complications / Q000601:surgery*