Point of Care Ultrasound in Pyogenic Tenosynovitis: A Case Report.

TitlePoint of Care Ultrasound in Pyogenic Tenosynovitis: A Case Report.
Publication TypeJournal Article
Year of Publication2020
AuthorsAmini R, Camacho L, Acuña J, La Casse EHSitu-, Adhikari S
JournalBull Emerg Trauma
Date Published2020 Jan
ISSN Number2322-2522

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.

Alternate JournalBull Emerg Trauma
PubMed ID32201701
PubMed Central IDPMC7071934
Faculty Reference: 
Josie G. Acuña, MD
Srikar Adhikari, MD, MS, FACEP
Richard Amini, MD
Elaine Situ-LaCasse, MD