title: Treatment of chronic isolated finger flexor tenosynovitis through 50% dehydrated alcohol installation.
abstract: The isolated idiopathic finger flexor tenosynovitis is a rare condition, related to diversed etiologies. The traditional treatment of flexor tenosynovitis includes medications and injection of steroids. If the conservative treatment is not effective, surgical management is usually recommended. And alcohol installations have been rarely performed. We are reporting an extremely rare case of a 56-year-old man who had chronic idiopathic isolated finger flexor tenosynovitis which was treated through alcohol injections. The patient had not yet been treated despite of medication and serial injections of steroid. We performed 1 mL of 50% ethanol injection for the initial treatment and the second injection was done in the same way 10 months later due to the improvements of the patient's clinical symptoms and images of the follow-up ultrasonography. As a result, the authors suggest alcohol installation as an alternative non-surgical treatment for flexor tenosynovitis when other conservative managements are not effective enough.
authors.affiliation: Department of Rehabilitation Medicine and Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Jae Eun
authors.initials: JE
authors.lastname: Shin
authors.forename: Jung Hyun
authors.initials: JH
authors.lastname: Park
authors.forename: Ho Sung
authors.initials: HS
authors.lastname: Yi
authors.forename: Byung Kook
authors.initials: BK
authors.lastname: Ye
authors.forename: Hyoung Seop
authors.initials: HS
authors.lastname: Kim
keywords: Alcohols; Tenosynovitis; Ultrasonography
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