TY - CHAP M1 - Book, Section TI - Tenosynovitis A1 - Ritter, Kathryn A1 - Fitch, Robert Warne A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Tenosynovitis, an inflammation of the tendon and surrounding synovial sheath, is characterized by pain and tenderness. Pyogenic flexor tenosynovitis is a serious tendon sheath infection resulting from puncture wounds, local extension, or hematogenous spread. It is characterized by the four cardinal Kanavel signs (see Fig. 12.28). Tenosynovitis may be complicated by fibrosis and adhesions, leading to stiffness, loss of function, and tendon necrosis. Inflammatory flexor tenosynovitis is typically due to rheumatoid arthritis, overuse, diabetes mellitus, or connective tissue disorders. The time course is typically more indolent than pyogenic flexor tenosynovitis, although the sequelae can be similar. Intersection syndrome is tenosynovitis of the radial wrist extensors. It causes pain, swelling, and crepitus of these muscle bellies in the distal third of the dorsoradial forearm. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/16 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181043572 ER -