Author/Authors :
Amini, Richard Department of Emergency Medicine - The University of Arizona, Tucson, USA , Camacho, Luis College of Medicine - The University of Arizona, Tucson, USA , Acuna, Josie Department of Emergency Medicine - The University of Arizona, Tucson, USA , Situ La ,Casse Elaine H Department of Emergency Medicine - The University of Arizona, Tucson, USA , Adhikari, Srikar Department of Emergency Medicine - The University of Arizona, Tucson, USA
Abstract :
Pyogenic tenosynovitis is caused by hematogenous spread of infection or trauma with direct inoculation of a tendon sheath. Symptoms and clinical examination findings associated with pyogenic tenosynovitis may be confused with superficial soft tissue infections, however management plans between pyogenic tenosynovitis and superficial soft tissue infection vary significantly. In patients with pyogenic tenosynovitis, operative intervention and subsequent irrigation and debridement offer a definitive therapy. Bedside ultrasound helps clinicians inspect the involved tendon sheath and may help assisting diagnosis of pyogenic tenosynovitis. In this case report, we described three cases, where point of care ultrasound was used to assist the diagnosis of pyogenic tenosynovitis, to accelerate consultation, and to expedite operative intervention.
Keywords :
Tenosynovitis , Pyogenic tenosynovitis , Septic tenosynovitis , Point of care Bedside ultrasound
