Tenosynovitis
| Tenosynovitis | |
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| ICD-10 | M65 |
| ICD-9 | 727.0 |
| DiseasesDB | 31136 |
| MedlinePlus | 001242 |
| eMedicine | emerg/571 |
| MeSH | D013717 |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Associate Editor-In-Chief: M.Umer Tariq [3]
Please Join in Editing This Page and Apply to be an Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [4] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. Symptoms of tenosynovitis include pain, swelling , and difficulty moving a particular joint where the inflammation occurs. When the condition causes the finger to "stick" in a flexed position, this is called "stenosing" tenosynovitis, which is commonly called "Trigger Finger."
When the finger tendon is inflamed, the synovium swells. Sometimes the tendon cannot slide easily through the synovium. When you straighten your finger, the tendon locks or sticks as it squeezes through the too-small synovium.
It usually occurs with tendinitis and it is related to stenosing tenosynovitis.
Symptoms
- Problems moving joints
- Pain, swelling and tenderness around a joint, particularly the hand, wrist, foot, and ankle
- Pain when moving the affected joint
Treatment
Possible treatments for tenosynovitis include cortisone injections (then a course of paracetomal and ibuprofen for pain) and an outpatient surgery to enlarge the synovium. The hand is splinted for a week or so.
Complete Differential Diagnosis of the causes of Tenosynovitis
Causes of trigger finger are unknown. Repeated use of hand tools can precede the condition, as well as arthritis or injury. Trigger Finger sometimes runs in families, and is generally seen more often in males than in females. The causes for children are even less known and have a recurrence rate of less than 1-5% after treatment. Other causes and associated conditions are:
Complete Differential Diagnosis of the Causes of Tenosynovitis
(By organ system)
| Cardiovascular | No underlying causes |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | |
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | No underlying causes |
| Rheum / Immune / Allergy | |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Exams and Tests
A physical examination shows swelling over the involved tendon. The health care provider may touch or stretch the tendon or have you move the muscle to which it is attached to see whether you experience pain. [1]
See also
Gonococcal Arthritis, though rare, can manifest itself as tenosynovitis
References
External links
- RSI - Repetitive Strain Injury and Occupational Overuse Syndrome
- Tenosynovitis - Tendon Sheath Inflammation
Template:Diseases of the musculoskeletal system and connective tissue Template:SIB