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Case Reports
Bedside ultrasound identification of infectious flexor tenosynovitis in the emergency department.
- Kevin Padrez, Jennifer Bress, Brian Johnson, and Arun Nagdev.
- University of California, San Francisco, School of Medicine, San Francisco, California.
- West J Emerg Med. 2015 Mar 1; 16 (2): 260-2.
AbstractInfectious flexor tenosynovitis (FTS) is a serious infection of the hand and wrist that can lead to necrosis and amputation without prompt diagnosis and surgical debridement. Despite the growing use of point-of-care ultrasound (POCUS) by emergency physicians there is only one reported case of the use of POCUS for the diagnosis of infectious FTS in the emergency department setting. We present a case of a 58 year-old man where POCUS identified tissue necrosis and fluid along the flexor tendon sheath of the hand. Subsequent surgical pathology confirmed the diagnosis of infectious FTS.
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